KATHRYN BRADDY-DILLARD APRN-CNP
NPI 1376161984
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Kathryn Braddy-dillard's NPI number?

The NPI number for Kathryn Braddy-dillard is 1376161984. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Q: What is Kathryn Braddy-dillard's specialty?

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

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment

77.4/100

CMS Quality Rating

4475 SAN JUAN AVE, JACKSONVILLE, FL 32210(904) 389-0314 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2022, Aug 12, 2020, Jul 9, 2020 (3 updates tracked since 2020).

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About Kathryn Braddy-dillard Aprn-cnp NPPES

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

KATHRYN BRADDY-DILLARD APRN-CNP (NPI 1376161984) is an individual family provider in Jacksonville, Florida, licensed in Florida (11008012) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376161984

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHRYN BRADDY-DILLARDCredential: APRN-CNP

Location Address4475 SAN JUAN AVEJacksonville, FL 32210-3357

Mailing Address894 Laurel Valley DrOrange Park, FL 32065-2708 · (313) 407-9173

Phone(904) 389-0314

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 9, 2020

Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1376161984 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 · 11008012

4475 SAN JUAN AVE, Jacksonville, FL 32210

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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 and accepts Medicare assignment

Kathryn Braddy-dillard Aprn-cnp 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 ID5799103784

PECOS Enrollment IDI20200908001068

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

25 services25 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

13 services13 patients

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.

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.

77.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.24

Improvement Activities

Cost

59.06

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANNON RENEE CHAPPELL APRN

Nurse Practitioner (Family)