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

Kimberlei M Faller, FNP-BC, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1467910109

Kimberlei M Faller, FNP-BC, PMHNP-BC is a Nurse Practitioner in Live Oak, Florida. Qualified in 2019, 7 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

215 Howard St W
Live Oak, FL 32064-2303
Phone: (386) 319-0709
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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 APRN11001792 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11001792 (FL)

Record details

NPI number1467910109
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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