KATHRINE ROSE POLISTINA ARNP
NPI 1437670643
Nurse Practitioner - Acute Care in Jacksonville, FL

Q: What is Kathrine Polistina's NPI number?

The NPI number for Kathrine Polistina is 1437670643. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Q: What is Kathrine Polistina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since June 28, 2017PECOS Enrolled

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Jun 28, 2017 (2 updates tracked since 2017).

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About Kathrine Rose Polistina Arnp NPPES

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

KATHRINE ROSE POLISTINA ARNP (NPI 1437670643) is an individual acute care provider in Jacksonville, Florida, licensed in Florida (ARNP9310012) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1437670643

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKATHRINE ROSE POLISTINACredential: ARNP

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202

Mailing Address800 Prudential Dr # 1100Jacksonville, FL 32207-8202

Sole ProprietorNo

Enumeration DateJune 28, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1437670643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · ARNP9310012

800 PRUDENTIAL DR, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 1800 Prudential DrJacksonville, FL 32207-8202 · Phone (904) 388-6518

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathrine Rose Polistina Arnp 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 Reassignments

Medicare enrollment records show Kathrine Polistina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Inc

Same address

Emergency Medicine

800 PRUDENTIAL DR
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
428 clinicians in this Medicare group

NPI 1285686675 (904) 396-5682

Jacksonville Brain & Spine PLLC

7.9 mi

Neurological Surgery

7807 BAYMEADOWS RD E STE 208
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
6 clinicians in this Medicare group

NPI 1336651009 (904) 330-0302

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 32207 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 20

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

ERIN M SCHOLZ MS CCC-SLP

Speech-Language Pathologist