Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kathlyn Elise Baxter, MSN, AGACNP, CCRN

Individual provider Registered Nurse · NPI 1124799663

Mrs. Kathlyn Elise Baxter, MSN, AGACNP, CCRN is a Nurse Practitioner in Orange Park, Florida. Qualified in 2025, 1 year ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11041021 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9452667 (FL)

Record details

NPI number1124799663
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AGACNP , CCRN
Sole proprietorYes
NPI enumeratedSeptember 24, 2021
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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