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

Kimberly Standefer, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1992044762

Kimberly Standefer, FNP-BC is a Nurse Practitioner in Fort Walton Beach, Florida. Qualified in 2012, 14 years ago. Practices with Dx MSO PLLC, a 91-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Georgia and Tennessee.

Years since qualifying
14
Licensed in
FL, GA, TN
In the registry since
2013
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone: (850) 862-1111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3957 Cleveland Hwy, Dalton, GA 30721-2052 — (706) 529-3245
  • 1008 Executive Dr, Hixson, TN 37343-3991 — (423) 802-5143

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9449571 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 17410 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN229640 (GA)

Record details

NPI number1992044762
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedFebruary 13, 2013
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing addressPo Box 965, Hixson, TN 37343-0965

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dx Mso Pllc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Walton Beach