KATHERINE HAMILTON APRN
NPI 1275142853
Nurse Practitioner - Family in Jacksonville, FL

Active since July 29, 2020PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 260-1818 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Jul 19, 2022, Jul 29, 2020 (3 updates tracked since 2020).

About Katherine Hamilton Aprn NPPES

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

KATHERINE HAMILTON APRN (NPI 1275142853) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11008414) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275142853
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE HAMILTONCredential: APRN
Location Address11401 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-1402
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2020
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1275142853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11008414
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11008414 (FL)
11401 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

Other Names 1

Former Name (1)Katherine Fluegel Aprn

Secondary Practice Location 1

Location 114011 Beach Blvd Ste 120Jacksonville, FL 32250-1695 · Phone (904) 282-6331 · Fax (904) 223-6420

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 and accepts Medicare assignment

Katherine Hamilton Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204247398
PECOS Enrollment IDI20201120001645
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
536 services117 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
98 services59 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
78 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
30 services15 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
24 services20 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.67
Improvement Activities40

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.

Physical Therapy Assistant
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Physical Therapy Assistant
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Physical Therapist
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Registered Nurse
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Physical Therapy Assistant
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Physical Therapy Assistant
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Speech-Language Pathologist
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Occupational Therapist
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

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 Katherine Hamilton's NPI number?

The NPI number for Katherine Hamilton is 1275142853. It was assigned to this individual provider in the NPPES registry on July 29, 2020. The provider is also known as Katherine Fluegel Aprn.

Where is Katherine Hamilton located?

Katherine Hamilton practices at 11401 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 260-1818.

What is Katherine Hamilton's specialty?

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

Is Katherine Hamilton enrolled in Medicare?

Yes. Katherine Hamilton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katherine Hamilton accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Katherine Hamilton 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 Katherine Hamilton was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.