Kathryn Braddy-dillard, APRN-CNP - Medicare Nurse Practitioner in Jacksonville, FL

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Kathryn Braddy-dillard, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Llc and her current practice location is 4475 San Juan Ave, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 389-0314.

Kathryn Braddy-dillard is licensed to practice in Florida (license number 11008012) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376161984.

Contact Information

Kathryn Braddy-dillard, APRN-CNP
4475 San Juan Ave,
Jacksonville, FL 32210-3357
(904) 389-0314
Not Available

Map and Direction




Provider's Profile

Full NameKathryn Braddy-dillard
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location4475 San Juan Ave, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn Braddy-dillard graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1376161984
  • Provider Enumeration Date: 07/09/2020
  • Last Update Date: 10/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799103784
  • Enrollment ID: I20200908001068

Medical Identifiers

Medical identifiers for Kathryn Braddy-dillard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376161984NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11008012 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Llc6709850241509

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. Kathryn Braddy-dillard allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20070217000007
Entity NamePophealthcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164943957
PECOS PAC ID: 4880952977
Enrollment ID: O20171219001167

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. Kathryn Braddy-dillard 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
Kathryn Braddy-dillard, APRN-CNP
894 Laurel Valley Dr,
Orange Park, FL 32065-2708

Ph: (313) 407-9173		Kathryn Braddy-dillard, APRN-CNP
4475 San Juan Ave,
Jacksonville, FL 32210-3357

Ph: (904) 389-0314

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.