1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Nurse Practitioner
  6. NPI Profile

KENYATTA DACRES
NPI 1356922850
Nurse Practitioner - Family in Jacksonville, FL

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment
4510 RAINER RD, JACKSONVILLE, FL 32210(904) 535-1977 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenyatta Dacres NPPES

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

KENYATTA DACRES (NPI 1356922850) is an individual family provider in Jacksonville, Florida, licensed in Florida (11012249) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356922850
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENYATTA DACRES
Location Address4510 RAINER RDJacksonville, FL 32210-7058
Mailing Address4510 Rainer RdJacksonville, FL 32210-7058 · (904) 535-1977
Phone(904) 535-1977
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1356922850 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
License✔ Licensed in FL · 11012249
4510 RAINER RD, Jacksonville, FL 32210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Kenyatta Dacres 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 ID244634640
PECOS Enrollment IDI20210806002221
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32210 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 Kenyatta Dacres's NPI number?

The NPI number for Kenyatta Dacres is 1356922850. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Kenyatta Dacres located?

Kenyatta Dacres practices at 4510 Rainer Rd, Jacksonville, FL 32210. The listed phone number is (904) 535-1977.

What is Kenyatta Dacres's specialty?

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

Is Kenyatta Dacres enrolled in Medicare?

Yes. Kenyatta Dacres 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 Kenyatta Dacres accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kenyatta Dacres 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.

Is Kenyatta Dacres affiliated with any hospitals?

According to CMS data, Kenyatta Dacres is affiliated with Ascension St Vincent's Riverside, Ascension St Vincent's Southside and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Kenyatta Dacres was last updated on April 16, 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.