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KATHLEEN ANNE NOLAN APRN
NPI 1407707201
Nurse Practitioner - Family in Jacksonville, FL

Active since February 06, 2026PECOS Enrolled
1697 KINGS RD STE 1, JACKSONVILLE, FL 32209(904) 478-5483 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Feb 6, 2026 (2 updates tracked since 2026).

About Kathleen Anne Nolan Aprn NPPES

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

KATHLEEN ANNE NOLAN APRN (NPI 1407707201) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11031274) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407707201
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN ANNE NOLANCredential: APRN
Location Address1697 KINGS RD STE 1Jacksonville, FL 32209-6169
Mailing Address153 Ferrol RdSt Augustine, FL 32084-2966
Phone(904) 478-5483
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2026
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1407707201 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 · APRN11031274
1697 KINGS RD STE 1, Jacksonville, FL 32209
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)

Kathleen Anne Nolan Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325503774
PECOS Enrollment IDI20260716003991
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 Kathleen Nolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pareto Population Health Management Practice PLLC
Same address
Family Medicine
1697 KINGS RD STE 1
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1598396392 (904) 478-5483

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 32209 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.

Other Providers at the Same Location NPPES 4

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

CASEY MOORE APRN
Nurse Practitioner (Family)
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483
MS. DAVITA NOELL SMITH FNP
Nurse Practitioner (Family)
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 982-0338
PARETO POPULATION HEALTH MANAGEMENT PRACTICE PLLC
Family Medicine
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483
CARLOS MANUEL DAVILA
Physician Assistant
1697 KINGS RD STE 1
JACKSONVILLE, FL 32209
Duval County (904) 478-5483

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 Kathleen Nolan's NPI number?

The NPI number for Kathleen Nolan is 1407707201. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Kathleen Nolan located?

Kathleen Nolan practices at 1697 Kings Rd Ste 1, Jacksonville, FL 32209. The listed phone number is (904) 478-5483.

What is Kathleen Nolan's specialty?

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

Is Kathleen Nolan enrolled in Medicare?

Yes. Kathleen Nolan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Nolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Nolan reassigns Medicare benefits to Pareto Population Health Management Practice PLLC (Jacksonville, FL). 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 Kathleen Nolan'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 Kathleen Nolan was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.