MRS. KIMBERLY MARIE PETRAGNANI (ARNP) – Nurse Practitioner, NPI 1124093828
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. KIMBERLY MARIE PETRAGNANI (ARNP)
PO BOX 550908
JACKSONVILLE, FL 322550908
Phone: (904) 296-0278
Fax: (904) 296-0279
Type: Mailing
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 322078344
Phone: (904) 398-0125
Fax: (904) 376-3206
Type: Location
PO BOX 40767
JACKSONVILLE, FL 322030767
Phone: (904) 376-3707
Fax: (904) 391-5001
Type: Mailing
PO BOX 746652
ATLANTA, GA 303746652
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
6867 SOUTHPOINT DR N STE 111
JACKSONVILLE, FL 322168005
Phone: (904) 296-0278
Fax: (904) 296-0279
Type: Location
6930 BONNEVAL RD STE 2
JACKSONVILLE, FL 322166084
Phone: (904) 854-6899
Fax: (904) 338-0533
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,657.
Total Amount is formed as General ($1,657) + Research ($0) + Ownership ($0) = $1,657.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($489).
Total Amount
$1,657
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,657
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $489 |
| Edwards Lifesciences Corporation | $169 |
| PFIZER INC. | $131 |
| Novartis Pharmaceuticals Corporation | $130 |
| Impulse Dynamics (USA) Inc. | $103 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041027000576 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 444 | 352 | $0 |
| 85610 | Blood test, clotting time | 88 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 75 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 78 | 74 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 47 | 47 | $0 |
Insurance plans in this area (ZIP 32255)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology) | SC | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | FL |
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