KRISTI LYNN DVORAK CPNP, AC/PC
NPI 1225480080
Nurse Practitioner - Neonatal, Critical Care in Jacksonville, FL
About Kristi Lynn Dvorak Cpnp, Ac/pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTI LYNN DVORAK CPNP, AC/PC (NPI 1225480080) is an individual neonatal, critical care provider in Jacksonville, Florida, licensed in Florida (ARNP2626822) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristi Lynn Dvorak Cpnp, Ac/pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristi Dvorak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 1,456 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 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
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 Kristi Dvorak's NPI number?
The NPI number for Kristi Dvorak is 1225480080. It was assigned to this individual provider in the NPPES registry on July 5, 2016.
Where is Kristi Dvorak located?
Kristi Dvorak practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-3199.
What is Kristi Dvorak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Kristi Dvorak enrolled in Medicare?
Yes. Kristi Dvorak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristi Dvorak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Dvorak reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (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 Kristi Dvorak'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 Kristi Dvorak was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kristi Lynn Dvorak, CPNP, AC/PC · NPI 1225480080
Neonatal, Critical Care physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 5, 2016.
## Identity
- **NPI:** 1225480080 (Entity type: Individual)
- **Enumerated:** July 5, 2016
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** ARNP2626822 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 W 8TH ST, Jacksonville, FL 32209-6511
- **Phone:** (904) 244-3199
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Florida Jacksonville Physicians Inc (NPI 1326208695, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2026
- **Other identifiers:** Medicaid 003178951A (GA); Medicaid 018044800 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1225480080) · Data from the CMS NPPES public registry.