Kristy Laura Vandergriff, APRN - Medicare Nurse Practitioner in Callahan, FL

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Kristy Laura Vandergriff, APRN is a medicare enrolled "Nurse Practitioner - Family" in Callahan, Florida. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kopa Llc and her current practice location is 542325 Us Highway 1, Callahan, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 879-4233.

Kristy Laura Vandergriff is licensed to practice in Florida (license number 9419429) 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 1699298372.

Contact Information

Kristy Laura Vandergriff, APRN
542325 Us Highway 1,
Callahan, FL 32011-6496
(904) 879-4233
Not Available

Map and Direction




Provider's Profile

Full NameKristy Laura Vandergriff
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location542325 Us Highway 1, Callahan, 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:
  • Kristy Laura Vandergriff graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1699298372
  • Provider Enumeration Date: 07/25/2017
  • Last Update Date: 10/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537432133
  • Enrollment ID: I20211229000683

Medical Identifiers

Medical identifiers for Kristy Laura Vandergriff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699298372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 112224 (Nebraska)Secondary
363LF0000XNurse Practitioner - Family 9419429 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kopa Llc519377446127

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. Kristy Laura Vandergriff allows following entities to bill medicare on her behalf.
Entity NameKopa Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417021114
PECOS PAC ID: 5193774461
Enrollment ID: O20050113001021
Entity NameDover Shores Family Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417683707
PECOS PAC ID: 7517336431
Enrollment ID: O20221214003092
Entity NameOld City Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245008119
PECOS PAC ID: 7012360076
Enrollment ID: O20240126000959

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. Kristy Laura Vandergriff 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
Kristy Laura Vandergriff, APRN
542325 Us Highway 1,
Callahan, FL 32011-6496

Ph: (904) 879-4233		Kristy Laura Vandergriff, APRN
542325 Us Highway 1,
Callahan, FL 32011-6496

Ph: (904) 879-4233

Reviews and Comments


Nurse Practitioner Nurses in Callahan, FL

Faith Ann Adams, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 866-389-2727    
Mrs. Cassandra Hargis, APRN, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 450671 Sr 200, Callahan, FL 32011
Phone: 904-631-7396    
Ms. Donna Lee Irwin, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 45377 Mickler St, Callahan, FL 32011
Phone: 904-879-2306    Fax: 904-879-6377
Shonda Souther, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 542435 Us Highway 1, Callahan, FL 32011
Phone: 904-507-4623    
Melissa Thick Cannon, APRN FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 904-879-4233    
Margo Walton,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 866-389-2727    
Nikata Arvind Patel, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 904-200-1996    

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.