Kaitlyn Nicole Kaczka, MSN, APRN - Medicare Nurse Practitioner in Jacksonville, FL

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Kaitlyn Nicole Kaczka, MSN, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 7855 Argyle Forest Blvd Ste 601, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 778-3389.

Kaitlyn Nicole Kaczka is licensed to practice in Florida (license number APRN11016444) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134709884.

Contact Information

Kaitlyn Nicole Kaczka, MSN, APRN
7855 Argyle Forest Blvd Ste 601,
Jacksonville, FL 32244-7704
(904) 778-3389
(904) 778-3395

Map and Direction




Provider's Profile

Full NameKaitlyn Nicole Kaczka
GenderFemale
SpecialityNurse Practitioner - Family
Location7855 Argyle Forest Blvd Ste 601, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134709884
  • Provider Enumeration Date: 04/08/2021
  • Last Update Date: 06/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587045224
  • Enrollment ID: I20220713000738

Medical Identifiers

Medical identifiers for Kaitlyn Nicole Kaczka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134709884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN11016444 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN11016444 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaitlyn Nicole Kaczka allows following entities to bill medicare on her behalf.
Entity NamePhysicians Group Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861440810
PECOS PAC ID: 1254238579
Enrollment ID: O20031216000099
Entity NameCoastal Health Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023734340
PECOS PAC ID: 8628447380
Enrollment ID: O20221220001103

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaitlyn Nicole Kaczka is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaitlyn Nicole Kaczka, MSN, APRN
705 Wells Rd Ste 300,
Orange Park, FL 32073-2982

Ph: (904) 282-6331		Kaitlyn Nicole Kaczka, MSN, APRN
7855 Argyle Forest Blvd Ste 601,
Jacksonville, FL 32244-7704

Ph: (904) 778-3389

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.