KAITLYN NICOLE KACZKA (MSN, APRN) – Family Nurse Practitioner, NPI 1134709884
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAITLYN NICOLE KACZKA (MSN, APRN)
705 WELLS RD STE 300
ORANGE PARK, FL 320732982
Phone: (904) 282-6331
Fax: (904) 619-1080
Type: Mailing
7855 ARGYLE FOREST BLVD STE 601
JACKSONVILLE, FL 322447704
Phone: (904) 778-3389
Fax: (904) 778-3395
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $875.
Total Amount is formed as General ($875) + Research ($0) + Ownership ($0) = $875.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: ABBVIE INC. ($399).
Total Amount
$875
General + Research + Ownership
Payments
37
Total payment records
General Amount
$875
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $399 |
| Boston Scientific Corporation | $136 |
| IDORSIA PHARMACEUTICALS US INC | $86 |
| AstraZeneca Pharmaceuticals LP | $63 |
| Lilly USA, LLC | $56 |
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: 2022-07-13
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 |
|---|---|---|---|---|
| I20220713000738 | 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 | 134 | 95 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 113 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 37 | 16 | $0 |
Insurance plans in this area (ZIP 32073)
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