Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAURA E KIDDER APRN
NPI 1619868908
Nurse Practitioner in Jacksonville, FL

Active since July 14, 2025PECOS Enrolled
9310 OLD KINGS RD S STE 1303, JACKSONVILLE, FL 32257(904) 900-3472 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura E Kidder Aprn NPPES

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

LAURA E KIDDER APRN (NPI 1619868908) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11040862) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1619868908
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAURA E KIDDERCredential: APRN
Location Address9310 OLD KINGS RD S STE 1303Jacksonville, FL 32257-8100
Mailing Address9310 Old Kings Rd S Ste 1303Jacksonville, FL 32257-8100 · (904) 900-3472
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 14, 2025
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1619868908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11040862
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9310 OLD KINGS RD S STE 1303, Jacksonville, FL 32257

Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

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

Laura E Kidder Aprn 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 ID6305343468
PECOS Enrollment IDI20251007001661
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32257 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.

Family Medicine
9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL 32257
Nurse Practitioner (Primary Care)
9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL 32257
Nurse Practitioner (Family)
9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL 32257
Nurse Practitioner (Family)
9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL 32257

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 Laura Kidder's NPI number?

The NPI number for Laura Kidder is 1619868908. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Laura Kidder located?

Laura Kidder practices at 9310 Old Kings Rd S Ste 1303, Jacksonville, FL 32257. The listed phone number is (904) 900-3472.

What is Laura Kidder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Laura Kidder enrolled in Medicare?

Yes. Laura Kidder 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.

Is Laura Kidder affiliated with any hospitals?

According to CMS data, Laura Kidder is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Laura Kidder was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.