Individual provider

Kathlyn Baxter, MSN, AGACNP, CCRN

Acute Care Nurse Practitioner Registered Nurse Medicare enrolled

Kathlyn Baxter, MSN, AGACNP, CCRN is an Acute Care Nurse Practitioner in Orange Park, FL, registered under NPI 1124799663. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2001 KINGSLEY AVE, Orange Park, FL 32073. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2001 KINGSLEY AVE, Orange Park, FL 32073 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
11041021 FL Acute Care Nurse Practitioner primary
9452667 FL Registered Nurse

This provider holds licence 11041021 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
9436643152
Enrollment ID
I20251210002789

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Acute Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2100X Acute Care Nurse Practitioner Acute Care 11041021 FL primary
163W00000X Registered Nurse 9452667 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124799663 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 24, 2021
Last updatedAug 20, 2025
StatusActive
Sole proprietorYes
CredentialMSN, AGACNP, CCRN
Practice address 2001 KINGSLEY AVE
Orange Park, FL 32073
(904) 639-8500
Mailing address 12147 WARWICK CIR
Parrish, FL 34219
This record was updated on Aug 20, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124799663 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 7 9 9 6 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 5 9 9 6 3

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124799663?
NPI 1124799663 is the National Provider Identifier assigned to Kathlyn Baxter, MSN, AGACNP, CCRN in Orange Park, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Acute Care cover?
Definition to come...
How do I contact Kathlyn Baxter, MSN, AGACNP, CCRN?
The phone number on file with NPPES is (904) 639-8500, last updated Aug 20, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kathlyn Baxter, MSN, AGACNP, CCRN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124799663 a valid number?
Yes. 1124799663 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.