Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Knetra Pendleton , APRN

Nurse Practitioner - Pediatrics β€’ Jacksonville, FL

Active NPI 1013382126 Individual Practitioner Female Practitioner
Practice location in NPPES

120 King St
Jacksonville, FL 322042410

Call 9047604904 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

120 King St

Jacksonville, FL 322042410

Telephone 9047604904
Organization at the Same NPPES Address or Phone
Agape Pharmacy Facility NPI 1831102763

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $4.23 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Knetra Pendleton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Knetra Pendleton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

100 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Jacksonville, FL (1,547 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 100 clinicians have the CMS telehealth indicator.

1% of these 100 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $4.23.

Manufacturer Payment Nature Product Type Amount ($)
Organon LLC
Food and Beverage
In-kind items and services
NEXPLANON General $4.23

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-21
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES FL ARNP9272743
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230627002581

Enrollment State Jurisdiction

FL

PECOS Control ID

1456719152

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Monica Cox , ARNP

Nurse Practitioner

NPI 1467432351

Advanced Registered Nurse Practitioner

Dr. Dedrick Daniels , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1730402975

Doctor of Podiatric Medicine

Jau Evans , APRN

Nurse Practitioner - Family

NPI 1497269880

Advanced Practice Registered Nurse

Joni Kocher , APRN

Nurse Practitioner - Family

NPI 1831557677

Advanced Practice Registered Nurse

Chandroutie Santoo-Vazquez , ARNP-BC

Nurse Practitioner - Family

NPI 1740389683

ARNPBC

Paula Twyman , FNP-BC

Nurse Practitioner - Family

NPI 1285294744

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address July 21, 2023

Registered at 231 DEVOE ST, JACKSONVILLE, FL 322202085 (Tel: 9044766016)

πŸ“
Updated Practice Location June 21, 2023

Registered at 120 KING ST, JACKSONVILLE, FL 322042410 (Tel: 9047604904)

πŸ‘€
Provider Name / Credentials Updated June 21, 2023

Recorded as KNETRA PENDLETON, APRN

βœ…
NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 01, 2015

Registered at 1202 E PALM AVE, TAMPA, FL 336053512 (Tel: 8132737000)

πŸ“
Business Mailing Address (Initial Record) December 01, 2015

Registered at 7440 TERRACE RIVER DR, TEMPLE TERRACE, FL 336377923 (Tel: 9042506195)

πŸ‘€
Provider Name / Credentials (Initial Record) December 01, 2015

Recorded as KNETRA HATCH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Nurse Practitioner (license number reported to NPPES: FL ARNP9272743)

🟒
Initial NPI Registration & Enumeration December 01, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1013382126
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2015
Last Update: July 21, 2023
Sole Proprietor: No

Other Nurse Practitioner - Pediatrics Specialists in Jacksonville

Healthcare providers in Jacksonville

Mailing Address

231 Devoe St

Jacksonville, FL 322202085

Phone: 9044766016

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.