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PORSCHA SHANTELL KIMBRO ARNP
NPI 1831780014
Nurse Practitioner in Orange City, FL

Active since January 29, 2021PECOS EnrolledAccepts Medicare Assignment
1043 TOWN CENTER DR, ORANGE CITY, FL 32763(386) 774-0188 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Porscha Shantell Kimbro Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORSCHA SHANTELL KIMBRO ARNP (NPI 1831780014) is an individual nurse practitioner in Orange City, Florida, licensed in Florida (11007402) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831780014
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePORSCHA SHANTELL KIMBROCredential: ARNP
Location Address1043 TOWN CENTER DROrange City, FL 32763-8360
Mailing Address3030 Galaxy StDeltona, FL 32738-7216 · (407) 574-1776
Phone(386) 774-0188
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1831780014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11007402
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1043 TOWN CENTER DR, Orange City, FL 32763
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Porscha Shantell Kimbro Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951791649
PECOS Enrollment IDI20211213001472
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Porscha Kimbro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System/Sunbelt, Inc.
0.8 mi
Urgent Care
1360 SAXON BLVD
Orange City, FL 32763
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
NPI 1588198733 (407) 200-2300
Florida Hospital Healthcare Partners, Inc
26 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services71 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services38 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
39 services38 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA L MCCUTCHAN ARNP
Nurse Practitioner (Primary Care)
1043 TOWN CENTER DR
ORANGE CITY, FL 32763
Volusia County (386) 774-0188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Porscha Kimbro's NPI number?

The NPI number for Porscha Kimbro is 1831780014. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Where is Porscha Kimbro located?

Porscha Kimbro practices at 1043 Town Center Dr, Orange City, FL 32763. The listed phone number is (386) 774-0188.

What is Porscha Kimbro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Porscha Kimbro enrolled in Medicare?

Yes. Porscha Kimbro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Porscha Kimbro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Porscha Kimbro reassigns Medicare benefits to 2 organizations: Adventist Health System/Sunbelt, Inc. (Orange City, FL) and Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Porscha Kimbro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Porscha Kimbro affiliated with any hospitals?

According to CMS data, Porscha Kimbro is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Porscha Kimbro was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.