Active NPI
Kristen Degennaro Trinca, M.D.
- Surgery Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME146323
- Practice address
- 2 Shircliff Way Ste 500
Jacksonville, FL 32204-4763 - Phone
- (904) 389-8861
- Fax
- (904) 389-5820
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | ME146323 | FL | Primary |
Addresses
Primary practice location
2 Shircliff Way Ste 500
Jacksonville, FL 32204-4763
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other practice location 1
8901 Wisconsin Ave
General Surgery
Bethesda, MD 20889-0001
Phone (301) 295-4462
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Miami, LM Miller School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Shircliff Way
Suite 500
Jacksonville, FL 32204-4753
Phone (904) 389-8861
Hospital & facility affiliations
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S Clay County
- Ed Fraser Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 30 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Surgery | Current | Accepting new patients |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
2 Shircliff Way
Ste 500
Jacksonville, FL 32204
Phone (904) 389-8861
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004
Networks
- Freedom Health HMO Network
Interoperability endpoints
- kristen.trinca.1@9109.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1881855583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-396-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SHIRCLIFF WAY STE 500",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044763",
"telephone_number": "904-389-8861",
"fax_number": "904-389-5820"
}
],
"practiceLocations": [
{
"address_1": "8901 Wisconsin Ave",
"address_2": "General Surgery",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208890001",
"country_code": "US",
"telephone_number": "301-295-4462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRINCA",
"first_name": "KRISTEN",
"middle_name": "DEGENNARO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME146323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.