Kimberley R. Fantasia, FNP
NPI 1154547479ActiveIndividual· Nurse Practitioner, Family· Waterville, ME
Nurse Practitioner, Family (FNP) with Gulfside Palliative Care, LLC, practicing in Waterville, Maine. 96 Medicare patients in 2024, $33,593 paid; nearly all of their 829 Part D prescriptions were generic (96%).
Overview
| NPI | 1154547479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Apr 17, 2007 |
| Last updated in NPPES | Sep 2, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP081842 | ME |
| Nurse Practitioner, Family | 363LF0000X | R051730 | ME |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 443 across 20 procedure codes |
| Paid by Medicare | $33,593 |
Part D prescriptions in 2024
| Prescriptions (claims) | 829 · 921 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $21,041 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Gulfside Palliative Care, LLCNew Port Richey, FL · 12 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 family nurse practitioners in Waterville · All family nurse practitioners in Maine