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

Khadene Simmons

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902502008

Khadene Simmons is a Nurse Practitioner in Clearwater, Florida. Qualified in 2021, 5 years ago. Practices with Balanced Wellbeing LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

2985 Drew St
Clearwater, FL 33759-3012
Phone: (813) 302-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11023908 (FL)

Record details

NPI number1902502008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2023
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address9648 Us Highway 301 S # 46, Riverview, FL 33578-5442

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Balanced Wellbeing Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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