LAURIE ANN ILIFF APRN
NPI 1720958580
Nurse Practitioner - Family in Jacksonville, FL

Active since November 07, 2025PECOS EnrolledAccepts Medicare Assignment
12574 FLAGLER CENTER BLVE STE. 201, JACKSONVILLE, FL 32258(913) 634-9598 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 29, 2025, Dec 23, 2025, Nov 7, 2025 (3 updates tracked since 2025).

About Laurie Ann Iliff Aprn NPPES

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

LAURIE ANN ILIFF APRN (NPI 1720958580) is an individual family provider in Jacksonville, Florida, licensed in Florida (11042395) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Georgetown University School Of Medicine (2025).

NPPES Registry Identity

NPI1720958580
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURIE ANN ILIFFCredential: APRN
Location Address12574 FLAGLER CENTER BLVE STE. 201Jacksonville, FL 32258
Mailing Address12574 Flagler Center Blve Ste. 201Jacksonville, FL 32258 · (913) 634-9598
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2025
Enumeration DateNovember 7, 2025
Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1720958580 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 · 11042395
12574 FLAGLER CENTER BLVE STE. 201, Jacksonville, FL 32258

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

Laurie Ann Iliff 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 ID9830685239
PECOS Enrollment IDI20260106002528
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.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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.

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 Laurie Iliff's NPI number?

The NPI number for Laurie Iliff is 1720958580. It was assigned to this individual provider in the NPPES registry on November 7, 2025.

Where is Laurie Iliff located?

Laurie Iliff practices at 12574 Flagler Center Blve Ste. 201, Jacksonville, FL 32258. The listed phone number is (913) 634-9598.

What is Laurie Iliff's specialty?

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

Is Laurie Iliff enrolled in Medicare?

Yes. Laurie Iliff 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 Laurie Iliff affiliated with any hospitals?

According to CMS data, Laurie Iliff is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Laurie Iliff was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.