BAYLI BRIANA WALDROUP – Physician Assistant, NPI 1275172231

BAYLI BRIANA WALDROUP is a healthcare provider. based in Jacksonville, Florida. specializing in Physician Assistant. They hold a License No. 9112754 (FL). The NPI Number for BAYLI BRIANA WALDROUP is 1275172231

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BAYLI BRIANA WALDROUP
NPI
1275172231
Phone
(813) 401-0628
Address
6650 CORPORATE CENTER PKWY
Enumeration Date
22 December 2019
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043556583
Graduation Year
2019 (7 years ago)
PAC ID
2668802414
Group Practice PAC ID
4486806213
Professional Enrollment ID
I20200420001834
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for BAYLI BRIANA WALDROUP

  • 6650 CORPORATE CENTER PKWY

    JACKSONVILLE, FL 322160988

    Phone: (813) 401-0628

    Type: Mailing

  • 7017 A C SKINNER PKWY

    JACKSONVILLE, FL 322566932

    Phone: (813) 401-0628

    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: 2020-04-20

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
I20200420001834IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes242227$0
99212Established patient office or other outpatient visit, 10-19 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 4486806213View full group profile
NameSpecialtyState
U R O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
U R O L O G YFL
U R O L O G YFL
U R O L O G YFL
U R O L O G YFL
Nurse PractitionerFL
U R O L O G YFL

Reviews

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Frequently asked questions

Does BAYLI BRIANA WALDROUP have a public NPI I can cite?
Public records show BAYLI BRIANA WALDROUP under NPI 1275172231.
Quick check: is BAYLI BRIANA WALDROUP active?
Public NPPES data shows BAYLI BRIANA WALDROUP with an active NPI status right now.
What services align with BAYLI BRIANA WALDROUP's listing?
BAYLI BRIANA WALDROUP's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BAYLI BRIANA WALDROUP?
BAYLI BRIANA WALDROUP is associated with Jacksonville, Florida in the same public data insurers reference.
Who maintains BAYLI BRIANA WALDROUP's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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