DR. KRISTIN KELLY ANDERSON M.D.
NPI 1588922942
Internal Medicine in Jacksonville, FL

Q: What is Kristin Anderson's NPI number?

The NPI number for Kristin Anderson is 1588922942. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Q: What is Kristin Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Anderson was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-3850(904) 244-4799 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2021, Nov 15, 2015 (2 updates tracked since 2015).

On this page

About Dr. Kristin Kelly Anderson M.d. NPPES

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

DR. KRISTIN KELLY ANDERSON M.D. (NPI 1588922942) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME124491) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2012).

NPPES Registry Identity

NPI1588922942

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. KRISTIN KELLY ANDERSONCredential: M.D.

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address5410 Maryland Way, Suite 300Brentwood, TN 37027-5064 · (615) 371-5744 · Fax (888) 241-1410

Phone(904) 244-3850

Fax(904) 244-4799

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2012

Enumeration DateApril 23, 2012

Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration

✔ NPI 1588922942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME124491✔ Licensed in CA · A129549

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

655 W 8TH ST, Jacksonville, FL 32209

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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

Dr. Kristin Kelly Anderson M.d. 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 ID6800192337

PECOS Enrollment IDI20201016002047

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 Kristin Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

2,313 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%77 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MATTHEW DUWAIN WARRICK M.D.

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