Impact Practitioner Services, LLC
NPI 1982457081 · Primary Care Nurse Practitioner · Fort Pierce, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Practitioner Services, LLC is a Primary Care Nurse Practitioner organization in Fort Pierce, FL (NPI 1982457081).
Provider details
- NPI number
- 1982457081
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelli Kraaz, Sole Propietor(772) 528-5991
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-09
- Last updated
- 2024-04-09
- Certified
- 2024-04-08
Frequently asked questions
- What is Impact Practitioner Services, LLC's NPI number?
- Impact Practitioner Services, LLC's National Provider Identifier (NPI) is 1982457081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Practitioner Services, LLC?
- Impact Practitioner Services, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Impact Practitioner Services, LLC located?
- Impact Practitioner Services, LLC's practice location on file with NPPES is 3307 N Indian River Dr, Fort Pierce, FL 34946-8418.
- What is Impact Practitioner Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Practitioner Services, LLC is (772) 528-5991.
- Does Impact Practitioner Services, LLC accept Medicare?
- Impact Practitioner Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Practitioner Services, LLC?
- The authorized official listed on Impact Practitioner Services, LLC's NPPES record is Kelli Kraaz, Sole Propietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Practitioner Services, LLC's NPI active?
- Yes — Impact Practitioner Services, LLC's NPI (1982457081) is active in the NPPES registry as of the last update on 2024-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.