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LISA KIDD NP
NPI 1952009771
Nurse Practitioner - Family in Jacksonville Beach, FL

Active since February 21, 2023PECOS Enrolled
3563 PHILIPS HWY, BLDG. B SUITE 201A, JACKSONVILLE BEACH, FL 32207(904) 202-2557(904) 393-2958 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 2, 2025, Jun 3, 2025, Jun 25, 2024 and 2 more (5 updates tracked since 2023).

About Lisa Kidd Np NPPES

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

LISA KIDD NP (NPI 1952009771) is an individual family provider in Jacksonville Beach, Florida, licensed in Florida (APRN11022483) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952009771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA KIDDCredential: NP
Location Address3563 PHILIPS HWY, BLDG. B SUITE 201AJacksonville Beach, FL 32207
Mailing AddressPo Box 746636Atlanta, GA 30374-6636 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 202-2557
Fax(904) 393-2958
Sole ProprietorNo
Enumeration DateFebruary 21, 2023
Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1952009771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11022483
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11022483 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN11022483 (FL)
3563 PHILIPS HWY, Jacksonville Beach, FL 32207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Kidd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYBAP, LLC.
Home Health
3563 PHILIPS HWY, BUILDING B, SUITE 202-B
JACKSONVILLE, FL 32207
Duval County (904) 202-4300
ANNA PAOLA GUTIERREZ FNP
Nurse Practitioner
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
CAITLIN ELIZABETH AUDET APRN
Nurse Practitioner
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
KRISTIN LEE GONZALEZ DNP
Nurse Practitioner (Family)
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
VICTORIA J STRONGOSKY LCSW
Social Worker (Clinical)
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
BAPTIST HOME CARE
Home Health
3563 PHILIPS HWY, BLD 202, SUITE 202
JACKSONVILLE, FL 32207
Duval County (904) 202-4341
PAVILION INFUSION THERAPY INC
Pharmacy (Home Infusion Therapy Pharmacy)
3563 PHILIPS HWY, STE 202
JACKSONVILLE, FL 32207
Duval County (904) 202-5730

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 Lisa Kidd's NPI number?

The NPI number for Lisa Kidd is 1952009771. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Where is Lisa Kidd located?

Lisa Kidd practices at 3563 Philips Hwy Bldg. B Suite 201A, Jacksonville Beach, FL 32207. The listed phone number is (904) 202-2557.

What is Lisa Kidd's specialty?

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

Is Lisa Kidd enrolled in Medicare?

Yes. Lisa Kidd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Kidd was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.