Cody Tripp, NP - Medicare Nurse Practitioner in Jacksonville, FL

Cody Tripp, NP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Vincent's Ambulatory Care Inc and his current practice location is 4475 San Juan Ave, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 389-0314.

Cody Tripp is licensed to practice in Florida (license number 11013500) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760051106.

Contact Information

Cody Tripp, NP
4475 San Juan Ave,
Jacksonville, FL 32210-3357
(904) 389-0314
Not Available

Map and Direction




Provider's Profile

Full NameCody Tripp
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location4475 San Juan Ave, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cody Tripp graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1760051106
  • Provider Enumeration Date: 06/21/2021
  • Last Update Date: 06/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143625459
  • Enrollment ID: I20210825001722

Medical Identifiers

Medical identifiers for Cody Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760051106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0000029647 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 11013500 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent's Ambulatory Care Inc2860411188275

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cody Tripp allows following entities to bill medicare on his behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cody Tripp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cody Tripp, NP
311 Shadow Glen Dr,
Nashville, TN 37211-7521

Ph: () -
Cody Tripp, NP
4475 San Juan Ave,
Jacksonville, FL 32210-3357

Ph: (904) 389-0314

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.