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KATHRYN ALYSSA DZIWULSKI
NPI 1124954854
Audiologist in Jacksonville, FL

Active since June 22, 2026
3627 UNIVERSITY BLVD S STE 500, JACKSONVILLE, FL 32216(904) 858-1912 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathryn Alyssa Dziwulski NPPES

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

KATHRYN ALYSSA DZIWULSKI (NPI 1124954854) is an individual audiologist in Jacksonville, Florida, licensed in Florida (AY3012) and active in the NPI registry since June 2026. She is a graduate of Nova Southeastern College Of Osteo Medicine (2026).

NPPES Registry Identity

NPI1124954854
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameKATHRYN ALYSSA DZIWULSKI
Location Address3627 UNIVERSITY BLVD S STE 500Jacksonville, FL 32216-7405
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725
Phone(904) 858-1912
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2026
Enumeration DateJune 22, 2026
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1124954854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in FL · AY3012
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
3627 UNIVERSITY BLVD S STE 500, Jacksonville, FL 32216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Alyssa Dziwulski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183182587
PECOS Enrollment IDI20260817000664

Medicare Billing Reassignment

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

North Florida Surgeons, PA
9.4 mi
Surgery
11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223
  • Reassigned Medicare billing, Florida enrollment
  • 321 clinicians in this Medicare group
NPI 1912953290 (904) 396-1725

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 5

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

MEREDITH TINTI MD
Surgery (Trauma Surgery)
3627 UNIVERSITY BLVD S STE 500
JACKSONVILLE, FL 32216
Duval County (904) 596-0760
HARLAN P CARROLL MA
Audiologist
3627 UNIVERSITY BLVD S STE 500
JACKSONVILLE, FL 32216
Duval County (904) 858-1912
MRS. LINDSAY ANNE BURDEN ARNP
Nurse Practitioner
3627 UNIVERSITY BLVD S STE 500
JACKSONVILLE, FL 32216
Duval County (904) 399-5678
MRS. EMMA E ATWELL PA-C
Physician Assistant
3627 UNIVERSITY BLVD S STE 500
JACKSONVILLE, FL 32216
Duval County (904) 399-5678
DR. GERSON RODRIGUEZ BAEZ M.D.
Internal Medicine
3627 UNIVERSITY BLVD S STE 500
JACKSONVILLE, FL 32216
Duval County (904) 399-1623

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 Kathryn Dziwulski's NPI number?

The NPI number for Kathryn Dziwulski is 1124954854. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Kathryn Dziwulski located?

Kathryn Dziwulski practices at 3627 University Blvd S Ste 500, Jacksonville, FL 32216. The listed phone number is (904) 858-1912.

What is Kathryn Dziwulski's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Kathryn Dziwulski enrolled in Medicare?

Yes. Kathryn Dziwulski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Dziwulski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Dziwulski reassigns Medicare benefits to North Florida Surgeons, PA (Jacksonville, 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 Kathryn Dziwulski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Dziwulski accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Kathryn Dziwulski 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 Kathryn Dziwulski was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.