Carla Kimberly Fontal
NPI 1114762739ActiveIndividual· Nurse Practitioner, Primary Care· North Port, FL
Nurse Practitioner, Primary Care with Stallant Medical Group Inc, practicing in North Port, Florida. Enrolled in Medicare as practitioner - nurse practitioner. Lists Curry General Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1114762739 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 26, 2024 |
| Last updated in NPPES | Jun 18, 2025 |
| Certified by provider | Jun 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | NP95034270 | CA |
| Registered Nurse, Emergency | 163WE0003X | RN9452266 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Stallant Medical Group IncCrescent City, CA · 16 clinicians
Hospital affiliations
- Curry General HospitalGold Beach, OR
- Providence St Joseph HospitalEureka, CA
- Sutter Coast HospitalCrescent City, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in North Port
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