CAITLYN MURDOCK (MD) – Student in an Organized Health Care Education/Training Program, NPI 1174101869

CAITLYN MURDOCK (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. The NPI Number for CAITLYN MURDOCK (MD) is 1174101869

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CAITLYN MURDOCK (MD)
NPI
1174101869
Phone
Not provided
Address
653 W 8TH ST # L17
Enumeration Date
1 April 2021
Last Update Date
1 April 2021

Doctor Profile

Medical School Name
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3129433300
Graduation Year
2021 (5 years ago)
PAC ID
4587160684
Group Practice PAC ID
8729051107
Professional Enrollment ID
I20250929001794
Address ID
IL606118702CH680XXDRXX504

Contacts

Other Endpoint
904-244-6656
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

2,540 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for CAITLYN MURDOCK (MD)

  • 653 W 8TH ST # L17

    JACKSONVILLE, FL 322096511

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250929001794IObstetrics/GynecologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729051107View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YNY
-IL

Reviews

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Frequently asked questions

How is CAITLYN MURDOCK (MD) identified in CMS data?
CMS-hosted NPPES data lists CAITLYN MURDOCK (MD) with NPI 1174101869.
Can I rely on CAITLYN MURDOCK (MD) being an active provider?
As of the registry snapshot, CAITLYN MURDOCK (MD) is marked active.
What is CAITLYN MURDOCK (MD)'s specialty?
The listing groups CAITLYN MURDOCK (MD) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What area does CAITLYN MURDOCK (MD) serve?
CAITLYN MURDOCK (MD)'s listing highlights Jacksonville, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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