Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY ANN CLERMONT FNP
NPI 1871863589
Nurse Practitioner - Family in Ormond Beach, FL

Active since January 11, 2012Opted out of Medicare · through Oct 1, 2026
266 N NOVA RD STE 101, ORMOND BEACH, FL 32174(239) 220-2843(239) 294-7430 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2022, Aug 21, 2017 (2 updates tracked since 2017).

About Kimberly Ann Clermont Fnp NPPES

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

KIMBERLY ANN CLERMONT FNP (NPI 1871863589) is an individual family provider in Ormond Beach, Florida, licensed in Florida (ARNP 9265591) and active in the NPI registry since January 2012. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1871863589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY ANN CLERMONTCredential: FNP
Location Address266 N NOVA RD STE 101Ormond Beach, FL 32174-5124
Mailing Address266 N Nova Rd Ste 101Ormond Beach, FL 32174-5124 · (239) 220-2843 · Fax (239) 294-7430
Fax(239) 294-7430
Sole ProprietorNo
Enumeration DateJanuary 11, 2012
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1871863589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP 9265591
Also ListedNurse PractitionerTaxonomy 363L00000X · License NUR-APRN-LIC-125738 (MT)
266 N NOVA RD STE 101, Ormond Beach, FL 32174

Other Names 1

Former Name (1)Kimberly Ann Scott

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kimberly Ann Clermont Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Kimberly Clermont's NPI number?

The NPI number for Kimberly Clermont is 1871863589. It was assigned to this individual provider in the NPPES registry on January 11, 2012. The provider is also known as Kimberly Ann Scott.

Where is Kimberly Clermont located?

Kimberly Clermont practices at 266 N Nova Rd Ste 101, Ormond Beach, FL 32174. The listed phone number is (239) 220-2843.

What is Kimberly Clermont's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Clermont enrolled in Medicare?

No. Kimberly Clermont has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Clermont was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.