KAITLIN RAFAY NURSE PRACTITIONER
NPI 1386421162
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL
About Kaitlin Rafay Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN RAFAY NURSE PRACTITIONER (NPI 1386421162) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11028563) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlin Rafay Nurse Practitioner 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlin Rafay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75201
- Reassigned Medicare billing, Florida, Michigan, Virginia and West Virginia enrollments
- 229 clinicians in this Medicare group
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.
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.
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
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 Kaitlin Rafay's NPI number?
The NPI number for Kaitlin Rafay is 1386421162. It was assigned to this individual provider in the NPPES registry on September 13, 2023. The provider is also known as Kaitlin Danielle Rafay.
Where is Kaitlin Rafay located?
Kaitlin Rafay practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6600.
What is Kaitlin Rafay's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kaitlin Rafay enrolled in Medicare?
Yes. Kaitlin Rafay 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.
Which organization bills Medicare for Kaitlin Rafay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Rafay reassigns Medicare benefits to Access Telecare, PLLC (Dallas, TX). 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 Kaitlin Rafay'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 Kaitlin Rafay was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.
# Kaitlin Rafay, NURSE PRACTITIONER · NPI 1386421162
Psychiatric/Mental Health physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since September 13, 2023.
## Identity
- **NPI:** 1386421162 (Entity type: Individual)
- **Enumerated:** September 13, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11028563 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3625 UNIVERSITY BLVD S, Jacksonville, FL 32216-4207
- **Phone:** (904) 702-6600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Access Telecare, PLLC (NPI 1013303080, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386421162) · Data from the CMS NPPES public registry.