Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Marie Bolin, APRN

Individual provider Family Nurse Practitioner · NPI 1417353665

Kelly Marie Bolin, APRN is a Nurse Practitioner in Tampa, Florida. Qualified in 2014, 12 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

8702 Hunters Lake Dr Ste 100
Tampa, FL 33647-2855
Phone: (813) 467-4700
Fax: (813) 467-4261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9280600 (FL)

Record details

NPI number1417353665
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 17, 2014
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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