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MRS. MARY KAE SANDIDGE FNP-BC
NPI 1124395272
Nurse Practitioner - Family in Jacksonville, FL

Active since November 17, 2011PECOS Enrolled
4348 SOUTHPOINT BLVD STE 100, JACKSONVILLE, FL 32216(904) 281-1915(904) 281-1119 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Mary Kae Sandidge Fnp-bc NPPES

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

MRS. MARY KAE SANDIDGE FNP-BC (NPI 1124395272) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP 1853212) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124395272
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY KAE SANDIDGECredential: FNP-BC
Location Address4348 SOUTHPOINT BLVD STE 100Jacksonville, FL 32216-0903
Mailing Address8000 Nw 80th PlaceRaiford, FL 32083 · (941) 232-6513
Phone(904) 281-1915
Fax(904) 281-1119
Sole ProprietorNo
Enumeration DateNovember 17, 2011
Last NPPES UpdateJanuary 17, 2019
✔ NPI 1124395272 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 · ARNP 1853212
4348 SOUTHPOINT BLVD STE 100, Jacksonville, FL 32216
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Other Identifiers 1

Medicaid004575500FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Kae Sandidge Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Mary Sandidge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rmed LLC
Same address
Family Medicine
4348 SOUTHPOINT BLVD STE 100
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 288 clinicians in this Medicare group
NPI 1205476793 (904) 281-1915
Iah Of Florida, LLC
3.3 mi
Family Medicine
5011 GATE PARKWAY BLD 100 STE 350
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
NPI 1750787982 (904) 281-1915

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 32216 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 14

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

RMED LLC
Family Medicine
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915
MS. CHERRON MICHELLE JOHNSON CRNA
Nurse Anesthetist, Certified Registered
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915
MS. SANDRA L SMITH APRN, FNP-BC
Nurse Practitioner (Family)
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915
ROBERT MARKHAM LANCASTER APRN
Nurse Practitioner (Acute Care)
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915
HEATHER FARLEY APRN, FNP-C
Nurse Practitioner (Family)
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915
DR. PERI M. SERT M.D.
Family Medicine
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915
WHITNEY PERRY
Nurse Practitioner
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915
ERICA NICOLE EBOHON NP-C
Nurse Practitioner (Primary Care)
4348 SOUTHPOINT BLVD STE 100
JACKSONVILLE, FL 32216
Duval County (904) 281-1915

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 Mary Sandidge's NPI number?

The NPI number for Mary Sandidge is 1124395272. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Mary Sandidge located?

Mary Sandidge practices at 4348 Southpoint Blvd Ste 100, Jacksonville, FL 32216. The listed phone number is (904) 281-1915.

What is Mary Sandidge's specialty?

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

Is Mary Sandidge enrolled in Medicare?

Yes. Mary Sandidge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Sandidge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sandidge reassigns Medicare benefits to 2 organizations: Rmed LLC (Jacksonville, FL) and Iah Of Florida, LLC (Jacksonville, 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 Mary Sandidge'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 Mary Sandidge was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.