KELLY HILDEBRANDT MD
NPI 1144726563
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since April 04, 2018PECOS Enrolled
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 633-4199 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Hildebrandt Md NPPES

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

KELLY HILDEBRANDT MD (NPI 1144726563) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1144726563
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY HILDEBRANDTCredential: MD
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address807 Childrens WayJacksonville, FL 32207-8426 · (904) 633-4199 · Fax (904) 633-4188
Sole ProprietorNo
Enumeration DateApril 4, 2018
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1144726563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
807 CHILDRENS WAY, Jacksonville, FL 32207

Secondary Practice Location 1

Location 1Mercy Health Pediatrics, 2213 Franklin Ave.Toledo, OH 43620 · Phone (419) 251-2415 · Fax (419) 251-2422

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Hildebrandt Md 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.

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.

Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
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 Kelly Hildebrandt's NPI number?

The NPI number for Kelly Hildebrandt is 1144726563. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Kelly Hildebrandt located?

Kelly Hildebrandt practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 633-4199.

What is Kelly Hildebrandt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Hildebrandt enrolled in Medicare?

Yes. Kelly Hildebrandt is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Hildebrandt accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kelly Hildebrandt 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 Kelly Hildebrandt was last updated on June 30, 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.