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

Q: 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.

Q: What is Kaitlyn Pontrelli's specialty?

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

Q: 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 4 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.

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: October 18, 2026.

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

On this page

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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Icahn School Of Medicine At Mount Sinai

843 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1190 5TH AVE, BOX 1028
New York, NY 10029

Reassigned Medicare billing, New York enrollment
73 clinicians in this Medicare group

NPI 1750626560 (212) 241-5646

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 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.

Which organization bills Medicare for Kaitlyn Pontrelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Pontrelli reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Kaitlyn Pontrelli'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 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 4 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.