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

Q: 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.

Q: What is Mary Sandidge's specialty?

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

Q: 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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