Individual provider Active NPI

Kristen Lynn Neuharth, MD

  • Hospitalist Physician
  • Jacksonville, FL
National Provider Identifier
1033195573
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME115092 Issued in FL
Practice address
820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone
(904) 202-3860
Fax
(904) 202-3846
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME115092 FL
Hospitalist Physician 208M00000X ME115092 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Other identifiers 2

IdentifierTypeStateIssuer
008623800MedicaidFL
P01234878OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000800 FL Practitioner - HospitalistPractitioner - Internal Medicine 1557303310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of North Carolina at Chapel Hill School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

11401 Old Saint Augustine Rd
Jacksonville, FL 32258-1402
Phone (904) 260-1818

1320 Roberts Dr
Suite 105a
Jacksonville Beach, FL 32250-3253
Phone (904) 202-4325

13241 Bartram Park Blvd
Unit 2105
Jacksonville, FL 32258-5224
Phone (904) 292-4111

1370 13TH Ave S
Suite 216
Jacksonville Beach, FL 32250-3206
Phone (904) 247-7778

13720 Old Saint Augustine Rd
Suite 1
Jacksonville, FL 32258-7415
Phone (904) 288-5550

14011 Beach Blvd
Suite 400
Jacksonville, FL 32250-1842
Phone (904) 992-1601

14534 Old Saint Augustine Rd
Jacksonville, FL 32258-2617

14540 Old Saint Augustine Rd
Suite 2201
Jacksonville, FL 32258-7418
Phone (904) 880-9696

1577 Roberts Dr
Suite 224
Jacksonville Beach, FL 32250-3265
Phone (904) 246-6940

1660 Prudential Dr
Suite 201
Jacksonville, FL 32207-8185
Phone (904) 202-4222

1660 Prudential Dr
Suite 310
Jacksonville, FL 32207-8197
Phone (904) 396-8656

1660 Prudential Dr
Suite 400
Jacksonville, FL 32207-8188
Phone (904) 396-0000

3563 Phillips Hwy 101
Jacksonville, FL 32207

5304 Bartram Commons Dr
Jacksonville, FL 32258-6104
Phone (904) 376-3970

820 Prudential Dr
Suite 304
Jacksonville, FL 32207-8205
Phone (904) 202-3860

820 Prudential Dr
Suite 515
Jacksonville, FL 32207-8207
Phone (904) 396-4886

836 Prudential Dr
Suite 105a
Jacksonville, FL 32207-8300
Phone (904) 202-4325

900 Beach Blvd
Jacksonville Beach, FL 32250-4368
Phone (904) 249-0335

950 Marsh Landing Pkwy
Suite 105B
Jacksonville Beach, FL 32250-1408
Phone (904) 376-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250505MAMDHemodialysis Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Internal Medicine CurrentSince May 1, 2013 Accepting new patients
Baptist Primary Care Inc CurrentSince May 1, 2013 Accepting new patients
Hartford Physician Services PC Internal Medicine Past Accepting new patients

Locations

820 Prudential Dr
Ste 304
Jacksonville, FL 32207
Phone (904) 202-3860

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

Interoperability endpoints

  • Direct secure messaging: kneuharth28399@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1033195573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078205",
            "telephone_number": "904-202-3860",
            "fax_number": "904-202-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHARTH",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115092",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME115092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008623800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01234878",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.