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KAITLYN PONTRELLI NP
NPI 1346717170
Nurse Practitioner - Family in Jacksonville, FL

Active since October 30, 2018PECOS Enrolled
8833 PERIMETER PARK BLVD STE 903, JACKSONVILLE, FL 32216(904) 503-2429 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2022, Oct 30, 2018 (2 updates tracked since 2018).

About Kaitlyn Pontrelli Np NPPES

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

KAITLYN PONTRELLI NP (NPI 1346717170) is an individual family provider in Jacksonville, Florida, licensed in Florida (11019275) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346717170
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN PONTRELLICredential: NP
Location Address8833 PERIMETER PARK BLVD STE 903Jacksonville, FL 32216-1120
Mailing Address3524 Carolwood LnSt Augustine, FL 32086-4318 · (201) 925-2391
Phone(904) 503-2429
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1346717170 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
Licenses✔ Licensed in FL · 11019275✔ Licensed in NY · F343779-1
8833 PERIMETER PARK BLVD STE 903, Jacksonville, FL 32216
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Pontrelli Np 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.

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 Kaitlyn Pontrelli's NPI number?

The NPI number for Kaitlyn Pontrelli is 1346717170. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Kaitlyn Pontrelli located?

Kaitlyn Pontrelli practices at 8833 Perimeter Park Blvd Ste 903, Jacksonville, FL 32216. The listed phone number is (904) 503-2429.

What is Kaitlyn Pontrelli's specialty?

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

Is Kaitlyn Pontrelli enrolled in Medicare?

Yes. Kaitlyn Pontrelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Pontrelli was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.