KERRIN D HARTLEY ARNP
NPI 1992084099
Nurse Practitioner in Callahan, FL
About Kerrin D Hartley Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRIN D HARTLEY ARNP (NPI 1992084099) is an individual nurse practitioner in Callahan, Florida, licensed in Florida (ARNP9303001) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Georgetown University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kerrin D Hartley Arnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kerrin Hartley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uf Health Shands Hospital
Acute Care Hospitals · Gainesville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CALLAHAN, FL 32011
CALLAHAN, FL 32011
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 Kerrin Hartley's NPI number?
The NPI number for Kerrin Hartley is 1992084099. It was assigned to this individual provider in the NPPES registry on August 8, 2011.
Where is Kerrin Hartley located?
Kerrin Hartley practices at 449621 Us Highway 301 Suite 110, Callahan, FL 32011. The listed phone number is (904) 507-2692.
What is Kerrin Hartley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kerrin Hartley enrolled in Medicare?
Yes. Kerrin Hartley 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.
Which organization bills Medicare for Kerrin Hartley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerrin Hartley reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The 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 Kerrin Hartley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kerrin Hartley accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Kerrin Hartley 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.
Is Kerrin Hartley affiliated with any hospitals?
According to CMS data, Kerrin Hartley is affiliated with Uf Health Shands Hospital.
When was this NPI record last updated?
The NPPES record for Kerrin Hartley was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kerrin D Hartley, ARNP · NPI 1992084099
Nurse Practitioner physician in Callahan, Florida. Individual provider, active in the CMS NPPES registry since August 8, 2011.
## Identity
- **NPI:** 1992084099 (Entity type: Individual)
- **Enumerated:** August 8, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP9303001 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 449621 US HIGHWAY 301, SUITE 110, Callahan, FL 32011-9348
- **Phone:** (904) 507-2692 · **Fax:** (904) 507-2693
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** September 4, 2013
- **Other identifiers:** Other ARNP9303001 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1992084099) · Data from the CMS NPPES public registry.