MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC) – Family Nurse Practitioner, NPI 1407622236

MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC) is a healthcare provider. based in Casselberry, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. 11030443 (FL). The NPI Number for MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC) is 1407622236

Main info

Female
3 Years Of Experience
Name
MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC)
NPI
1407622236
Phone
(407) 883-0908
Address
3385 S US HIGHWAY 17/92 STE 285
Enumeration Date
4 December 2023
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078830908
Graduation Year
2023 (3 years ago)
PAC ID
3375988215
Group Practice PAC ID
4880049675
Professional Enrollment ID
I20240509002286
Address ID
FL327147078AL1013XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC)

  • 3385 S US HIGHWAY 17/92 STE 285

    CASSELBERRY, FL 327072916

    Phone: (407) 883-0908

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Amarin Pharma Inc. ($125).

Total Amount

$182

General + Research + Ownership

Payments

4

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240509002286INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880049675View full group profile
NameSpecialtyState
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Emergency MedicineKS
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC)'s NPI number?
MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC)'s NPI is 1407622236 — the number used across U.S. healthcare to identify this provider.
Is MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC) shown as active in public data?
Registry records indicate MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC) maintains an active NPI.
What clinical focus is listed for MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC)?
At a glance, MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC)?
Travel planning: use Casselberry, Florida as the reference point for MRS. NITSHELL KERIN VILDOR (APRN, FNP-BC), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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