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KEDRICK J ST FLOYD NP
NPI 1821693011
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since December 03, 2020PECOS Enrolled
601 N FRIO ST # 1, SAN ANTONIO, TX 78207(210) 261-1000 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 10, 2021, Dec 3, 2020 (2 updates tracked since 2020).

About Kedrick J St Floyd Np NPPES

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

KEDRICK J ST FLOYD NP (NPI 1821693011) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1020837) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821693011
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKEDRICK J ST FLOYDCredential: NP
Location Address601 N FRIO ST # 1San Antonio, TX 78207-3011
Mailing Address6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293 · (210) 261-1000 · Fax (210) 261-1821
Phone(210) 261-1000
Sole ProprietorNo
Enumeration DateDecember 3, 2020
Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1821693011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1020837
601 N FRIO ST # 1, San Antonio, TX 78207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kedrick J St Floyd Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kedrick St Floyd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bexar County Board Of Trustees For Mental Health Mental Retardation
4.6 mi
Family Medicine
6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213
  • Reassigned Medicare billing, Texas enrollment
  • 210 clinicians in this Medicare group
NPI 1679948392 (210) 261-1000
Opgt Inc
280 mi
Psychiatry
3300 S FM 1788
Midland, TX 79706
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
NPI 1366864951 (337) 210-4477

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 78207 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Kedrick St Floyd's NPI number?

The NPI number for Kedrick St Floyd is 1821693011. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Kedrick St Floyd located?

Kedrick St Floyd practices at 601 N Frio St # 1, San Antonio, TX 78207. The listed phone number is (210) 261-1000.

What is Kedrick St Floyd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kedrick St Floyd enrolled in Medicare?

Yes. Kedrick St Floyd is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kedrick St Floyd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kedrick St Floyd reassigns Medicare benefits to 2 organizations: Bexar County Board Of Trustees For Mental Health Mental Retardation (San Antonio, TX) and Opgt Inc (Midland, TX). 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 Kedrick St Floyd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kedrick St Floyd accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First, Oscar Insurance Company and UnitedHealthcare list Kedrick St Floyd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kedrick St Floyd was last updated on December 10, 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.