Kimberly Anne Fletcher, APRN

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

APRN2574642 Issued in FL

Practice address

1325 San Marco Blvd Ste 300
Jacksonville, FL 32207-8567

Phone

(904) 253-6910

Fax

(904) 253-6964

NPI assigned

Feb 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vip Specialties of FloridaGroup PAC ID 7810355708, 27 clinicians

First Coast Surgical Associates Inc.Group PAC ID 5395779359, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.86 of 100Reported as group

Quality

85.7

Promoting interoperability

100

Improvement activities

40

Cost

78.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/PlW-EjC8LXq2pLtfi8pP4Fb9PQcNWAMu/
• FHIR API: https://fhir4.healow.com/fhir/r4/HFEDCD

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.

• First Coast Surgical Associates Inc

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1548249543
  Medicare reassignment Care Compare group NPD
• Vip Specialties of Florida

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1790499812
  Medicare reassignment Care Compare group NPD
• Jacksonville Lung Clinic LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Jacksonville Beach, FL
  • NPI 1861991937
  Medicare reassignment NPD
• Respiratory Critical Care and Sleep Medicine Associates,Inc

  • Pulmonary Disease Physician
  • Jacksonville, FL
  • NPI 1386622629
  Medicare reassignment NPD

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1770114381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078567",
            "telephone_number": "904-253-6910",
            "fax_number": "904-253-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078567",
            "telephone_number": "904-253-6910",
            "fax_number": "904-253-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-01",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN2574642",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2574642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108679800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashella Tamara Fletcher, LCSW
• Benjamin Michael Fletcher, PA-C
• Claire M Fletcher, PA-C
• Darlene Fletcher
• Jack Fletcher
• Michael Fletcher, MD
• Morgen Rachel Fletcher, PA-C
• Fletcher'S Medical Supplies, Inc.
• Fletcher'S Medical Supplies, Inc.
• Fletcher'S Tender Care, LLC

• Hospitalist Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.