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ANDREA BRAGDON M.S.
NPI 1053820050
Counselor - Mental Health in Jacksonville, FL

Active since September 22, 2017PECOS EnrolledAccepts Medicare Assignment
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256(646) 941-7645(929) 596-7897 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2024, Sep 22, 2017 (2 updates tracked since 2017).

About Andrea Bragdon M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BRAGDON M.S. (NPI 1053820050) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH18130) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053820050
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA BRAGDONCredential: M.S.
Location Address4651 SALISBURY RD STE 400Jacksonville, FL 32256-6187
Mailing Address555 Moultrie Landing Blvd Apt 6106St Augustine, FL 32086-5984 · (207) 844-0503
Phone(646) 941-7645
Fax(929) 596-7897
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 22, 2017
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1053820050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH18130
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC6599 (ME)
4651 SALISBURY RD STE 400, Jacksonville, FL 32256
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Bragdon M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436596632
PECOS Enrollment IDI20240324000063
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Bragdon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
320 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANA LUGO
Behavior Technician
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (904) 877-1507
MISS MARIE PIERRETTE WAGNER
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
BOBBIE MASSEY-HOLLIFIELD LCSW
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
HALIMA BENKHALED
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
MS. KELLY L PATRICK LMHC
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (646) 941-7645
AMBIKA KATARIA MD
Psychiatry & Neurology (Psychiatry)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (347) 691-9246
JONATHAN JEFFREY STAHL MS, LMHC, NCC
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (813) 726-5334
MRS. JESSICA M LAMBERT LMHC
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Duval County (850) 426-3928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Bragdon's NPI number?

The NPI number for Andrea Bragdon is 1053820050. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Andrea Bragdon located?

Andrea Bragdon practices at 4651 Salisbury Rd Ste 400, Jacksonville, FL 32256. The listed phone number is (646) 941-7645.

What is Andrea Bragdon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrea Bragdon enrolled in Medicare?

Yes. Andrea Bragdon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrea Bragdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Bragdon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Bragdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Bragdon accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Harvard Pilgrim Health Care and Oscar Health Maintenance Organization of Florida and 1 other insurer list Andrea Bragdon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Bragdon was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.