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

Individual provider Family Nurse Practitioner · NPI 1528582434

Kimberly Grossman, FNP is a Nurse Practitioner in Fort Walton Beach, Florida. Qualified in 2017, 9 years ago. Practices with Dynamic Pain and Wellness LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

341 Racetrack Rd NW Ste B
Fort Walton Beach, FL 32547
Phone: (850) 226-8290
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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 94499993 (FL)

Record details

NPI number1528582434
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESJune 21, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dynamic Pain And Wellness Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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