Kimberly Anne Greenawalt, ACNP-BC - Medicare Nurse Practitioner in Jacksonville, FL

Kimberly Anne Greenawalt, ACNP-BC is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Jacksonville, Florida. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pulmonary Associates Of St and her current practice location is 4205 Belfort Rd, Suite 2069, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 296-0278.

Kimberly Anne Greenawalt is licensed to practice in Florida (license number APRN9184456) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578831954.

Contact Information

Kimberly Anne Greenawalt, ACNP-BC
4205 Belfort Rd, Suite 2069,
Jacksonville, FL 32216-1471
(904) 296-0278
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Anne Greenawalt
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location4205 Belfort Rd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Anne Greenawalt graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1578831954
  • Provider Enumeration Date: 12/13/2011
  • Last Update Date: 03/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6709103260
  • Enrollment ID: I20150320000507

Medical Identifiers

Medical identifiers for Kimberly Anne Greenawalt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578831954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC0200XNurse Practitioner - Critical Care Medicine APRN9184456 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pulmonary Associates Of St074924001812

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. Kimberly Anne Greenawalt allows following entities to bill medicare on her behalf.
Entity NamePulmonary Associates Of St
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801999545
PECOS PAC ID: 0749240018
Enrollment ID: O20041012001229
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. Kimberly Anne Greenawalt 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
Kimberly Anne Greenawalt, ACNP-BC
4205 Belfort Rd, Suite 2069,
Jacksonville, FL 32216-1471

Ph: (904) 296-0278
Kimberly Anne Greenawalt, ACNP-BC
4205 Belfort Rd, Suite 2069,
Jacksonville, FL 32216-1471

Ph: (904) 296-0278

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.