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KURTIS HOSTETTER MD
NPI 1962640276
Family Medicine in Jacksonville, FL

Active since January 23, 2009PECOS Enrolled
12303 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 288-0277(904) 288-0414 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kurtis Hostetter Md NPPES

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

KURTIS HOSTETTER MD (NPI 1962640276) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME103141) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962640276
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKURTIS HOSTETTERCredential: MD
Location Address12303 SAN JOSE BLVDJacksonville, FL 32223-2640
Mailing Address3624 Simonton PlLake Mary, FL 32746-6741 · (407) 766-2804 · Fax (407) 878-3031
Phone(904) 288-0277
Fax(904) 288-0414
Sole ProprietorYes
Enumeration DateJanuary 23, 2009
Last NPPES UpdateDecember 6, 2010
✔ NPI 1962640276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME103141
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12303 SAN JOSE BLVD, Jacksonville, FL 32223
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kurtis Hostetter 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kurtis Hostetter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Solantic Of Jacksonville, LLC
13 mi
Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
NPI 1407893100 (904) 543-3677
Shands/Solantic Joint Venture, LLC
54 mi
Urgent Care
720 SW 2ND AVE., 160A
Gainesville, FL 32601
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
NPI 1558595223 (352) 240-8000
Carespot Of Orlando Hsi Urgent Care LLC
114 mi
Urgent Care
311 SOUTH AVALON PARK BLVD
Orlando, FL 32828
  • Reassigned Medicare billing, Florida enrollment
  • 133 clinicians in this Medicare group
NPI 1306367503 (407) 295-7557
Hma/Solantic Joint Venture, LLC
187 mi
Urgent Care
1820 58TH AVE., UNIT 110
Vero Beach, FL 32966
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1689812109 (772) 257-3200
Solantic/South Florida, LLC
281 mi
Urgent Care
1205 N UNIVERSITY DR
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
NPI 1851344378 (954) 780-8134

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 32223 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.

ADAM RYAN GLASSICK PA-C
Physician Assistant
12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 288-0277
MS. GIRIJA CHANDRAN M.D.
Family Medicine
12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 223-2330
SOLANTIC OF JACKSONVILLE, LLC
Clinic/Center (Urgent Care)
12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 288-0277
SOLANTIC URGENT CARE
Pharmacy
12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 228-0277
LURAJEAN AMAM CRAVENS CNP
Nurse Practitioner (Family)
12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 288-0717
VIKY DIVERTIE ARNP
Nurse Practitioner
12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 288-0277
MRS. PENNYE BROSCHE AREHART ARNP
Nurse Practitioner
12303 SAN JOSE BLVD, CARESPOT
JACKSONVILLE, FL 32223
Duval County (904) 306-7386

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 Kurtis Hostetter's NPI number?

The NPI number for Kurtis Hostetter is 1962640276. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Kurtis Hostetter located?

Kurtis Hostetter practices at 12303 San Jose Blvd, Jacksonville, FL 32223. The listed phone number is (904) 288-0277.

What is Kurtis Hostetter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kurtis Hostetter enrolled in Medicare?

Yes. Kurtis Hostetter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kurtis Hostetter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kurtis Hostetter reassigns Medicare benefits to 5 organizations: Solantic Of Jacksonville, LLC (Ponte Vedra, FL), Shands/Solantic Joint Venture, LLC (Gainesville, FL), Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL) and Solantic/South Florida, LLC (Coral Springs, 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 Kurtis Hostetter'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 Kurtis Hostetter was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.