CATHERINE MARIE BRUGNOLOTTI
NPI 1053990135
Nurse Practitioner - Family in Jacksonville, FL

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
836 PRUDENTIAL DR STE 902, JACKSONVILLE, FL 32207(904) 399-5620 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Catherine Marie Brugnolotti NPPES

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

CATHERINE MARIE BRUGNOLOTTI (NPI 1053990135) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11012505) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053990135
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE MARIE BRUGNOLOTTI
Location Address836 PRUDENTIAL DR STE 902Jacksonville, FL 32207-8336
Mailing Address1068 Durbin Parke DrSaint Johns, FL 32259-4267
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1053990135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11012505
836 PRUDENTIAL DR STE 902, Jacksonville, FL 32207

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

Catherine Marie Brugnolotti 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 ID8729522354
PECOS Enrollment IDI20240706000268
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 Reassignments

3

Medicare enrollment records show Catherine Brugnolotti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4039 13TH ST
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
Wound Care
10756 NW 20TH DR
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
Chiropractor
301 ALMERIA AVE STE 250
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR STE 902
JACKSONVILLE, FL 32207
Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR STE 902
JACKSONVILLE, FL 32207

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 Catherine Brugnolotti's NPI number?

The NPI number for Catherine Brugnolotti is 1053990135. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Catherine Brugnolotti located?

Catherine Brugnolotti practices at 836 Prudential Dr Ste 902, Jacksonville, FL 32207. The listed phone number is (904) 399-5620.

What is Catherine Brugnolotti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Catherine Brugnolotti enrolled in Medicare?

Yes. Catherine Brugnolotti 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 organizations bill Medicare for Catherine Brugnolotti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Brugnolotti reassigns Medicare benefits to 3 organizations: Living Well Health Center Of Central Florida Inc (Saint Cloud, FL), Masson Medical Specialist Corporation (Coral Springs, FL) and Elemental Living Inc (Coral Gables, FL). Each 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 Catherine Brugnolotti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Catherine Brugnolotti was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.