MR. MICHAEL NATHAN PEDDYCOART NP
NPI 1770950420
Nurse Practitioner - Adult Health in Jacksonville, FL
About Mr. Michael Nathan Peddycoart Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL NATHAN PEDDYCOART NP (NPI 1770950420) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (APRN9227732) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Michael Nathan Peddycoart Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Michael Peddycoart reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 124 clinicians in this Medicare group
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 440 clinicians in this Medicare group
Palm Coast, FL 32164
- Reassigned Medicare billing, Florida enrollment
- 300 clinicians in this Medicare group
Lauderhill, FL 33319
- Reassigned Medicare billing, Florida enrollment
- 30 clinicians in this Medicare group
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 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
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 Michael Peddycoart's NPI number?
The NPI number for Michael Peddycoart is 1770950420. It was assigned to this individual provider in the NPPES registry on August 28, 2015.
Where is Michael Peddycoart located?
Michael Peddycoart practices at 7406 Fullerton St, Jacksonville, FL 32256. The listed phone number is (863) 529-6259.
What is Michael Peddycoart's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Michael Peddycoart enrolled in Medicare?
Yes. Michael Peddycoart is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Michael Peddycoart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Peddycoart reassigns Medicare benefits to 4 organizations: Cardiac Vision LLC (Jacksonville, FL), Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL), Sound Physicians Of Florida IV, LLC (Palm Coast, FL) and Longevity Clinical Ltc Associates Of Florida PLLC (Lauderhill, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Peddycoart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Peddycoart was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Michael Nathan Peddycoart, NP · NPI 1770950420
Adult Health physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since August 28, 2015.
## Identity
- **NPI:** 1770950420 (Entity type: Individual)
- **Enumerated:** August 28, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN9227732 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 7406 FULLERTON ST, Jacksonville, FL 32256-3552
- **Phone:** (863) 529-6259
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cardiac Vision LLC (NPI 1144651373, Jacksonville, FL); Cogent Healthcare Of Jacksonville, LLC (NPI 1124252333, Jacksonville, FL); Sound Physicians Of Florida IV, LLC (NPI 1740633635, Palm Coast, FL); Longevity Clinical Ltc Associates Of Florida PLLC (NPI 1639743750, Lauderhill, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2020
- **Other identifiers:** Other RN9227732 (FL); Other APRN9227732 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1770950420) · Data from the CMS NPPES public registry.