TAMI KIPPLE (ARNP) – Nurse Practitioner, NPI 1255502621

TAMI KIPPLE (ARNP) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP2980202 (FL). The NPI Number for TAMI KIPPLE (ARNP) is 1255502621

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TAMI KIPPLE (ARNP)
NPI
1255502621
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
13 March 2008
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045709404
Graduation Year
2004 (22 years ago)
PAC ID
4688744337
Group Practice PAC ID
3779991542
Professional Enrollment ID
I20080606000264
Address ID
FL322560959JA4655XRDXX301
Telehealth
Yes

Contacts

Secure Messaging
tkipple391299@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TAMI KIPPLE (ARNP)

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone:

    Type: Mailing

  • PO BOX 639295 DEPT 93303

    CINCINNATI, OH 452639295

    Phone: (248) 266-4200

    Type: Mailing

  • 4500 San Pablo Rd S

    Jacksonville, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • 4248 SOUTPOINT BLVD

    STE 100

    JACKSONVILLE, FL 322160903

    Phone: (904) 281-1915

    Type: Location

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: 2008-06-06

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
I20080606000264INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 3779991542View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Emergency MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify TAMI KIPPLE (ARNP) for billing?
Administrative and clinical systems typically use NPI 1255502621 for TAMI KIPPLE (ARNP).
Is TAMI KIPPLE (ARNP)'s NPI status active today?
Active status means TAMI KIPPLE (ARNP)'s NPI record is not deactivated in the public file.
How should patients interpret TAMI KIPPLE (ARNP)'s specialty?
The extract shows Nurse Practitioner for TAMI KIPPLE (ARNP). Clinical services aligned with this taxonomy classification.
Can patients visit TAMI KIPPLE (ARNP) in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for TAMI KIPPLE (ARNP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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