KRYSTA CAUDLE MD
NPI 1679278295
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Q: What is Krysta Caudle's NPI number?

The NPI number for Krysta Caudle is 1679278295. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Krysta Caudle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Krysta Caudle was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 03, 2023PECOS Enrolled

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-3831 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Krysta Caudle Md NPPES

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

KRYSTA CAUDLE MD (NPI 1679278295) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679278295

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRYSTA CAUDLECredential: MD

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address655 W 8th StJacksonville, FL 32209-6511

Phone(904) 244-3831

Sole ProprietorNo

Enumeration DateApril 3, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1679278295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

655 W 8TH ST, Jacksonville, FL 32209

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krysta Caudle Md 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.

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.

Anesthesiology