Individual provider Active NPI

Kalynn Marie Kempton, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1093403891
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008795 Issued in FL
Practice address
6930 Bonneval Rd Ste 2
Jacksonville, FL 32216-6084
Phone
(904) 854-6899
Fax
(904) 338-0533
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008795 FL
Nurse Practitioner 363L00000X APRN11008795 FL Primary

Addresses

Primary practice location

6930 Bonneval Rd Ste 2
Jacksonville, FL 32216-6084

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 720-0599

Other names 1

  • Kalynn Marie McDaniel Former name

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615000897 FL Practitioner - Nurse Practitioner 8921466442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Cardiology, Inc. Nurse Practitioner CurrentSince Jun 19, 2023 Accepting new patients

Locations

6930 Bonneval Rd
Ste 2
Jacksonville, FL 32216
Phone (904) 854-6899

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1093403891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-720-0599",
            "fax_number": "904-376-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 BONNEVAL RD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166084",
            "telephone_number": "904-854-6899",
            "fax_number": "904-338-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPTON",
        "first_name": "KALYNN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008795",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALYNN",
            "last_name": "MCDANIEL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.