DR. ANNA K. VAN NIEKERK DO
NPI 1265820112
Family Medicine in Jacksonville, FL

NPI Status: Active since December 30, 2014

Contact Information

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000

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  • Individual
  • Female
  • Years of Experience 11
  • Family Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANNA VAN NIEKERK

This page provides the complete NPI Profile along with additional information for Anna Van Niekerk, a primary care provider established in Jacksonville, Florida with a medical specialization in Family Medicine and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1265820112 assigned on December 2014. The practitioner's primary taxonomy code is 207Q00000X with license number OS20232 (FL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1265820112
Provider Name
DR. ANNA K. VAN NIEKERK DO
Other Name
ANNA K. KUBLI
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Location Phone
(904) 953-2000
Mailing Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Mailing Phone
(904) 953-2000
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
12-30-2014
Last Update Date
09-25-2023
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A primary care provider (PCP) like Anna Van Niekerk sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 3737 Market Street 9th Floor - PFC
    Philadelphia, PA 19104
    (215) 662-8777
  • 200 W Arbor Dr
    San Diego, CA 92103
    (858) 657-7000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS20232
License State
FL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

OS021520 (PA)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

20A15206 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Anna Van Niekerk is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anna Van Niekerk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638420136

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230731000249

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.9 for a new patient copayment and $24.79 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32224 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.62
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $21.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anna Van Niekerk is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MAYO CLINIC4500 SAN PABLO RD
JACKSONVILLE, FL 32224
(904) 953-2000Acute Care Hospitals

Reviews for DR. ANNA K. VAN NIEKERK DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265820112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125162012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 2 + 0 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1265820112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023015062MS. KATHERINE ANN LEMASTER LCSW, RN
Individual
Social Worker (Clinical)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 296-3700
1962403964MS. NANCY DALTON CRNA
Individual
Nurse Anesthetist, Certified Registered4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 296-4667
1285621573DR. ROBERT ALLEN GILLHAM JR. M.D.
Individual
Allergy & Immunology4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1831186089DR. GEOFFREY STEVEN GATES M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1750378907DR. THOMAS PATRICK FOX M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1083601231DR. GRETCHEN KAY LIPKE M.D.
Individual
Emergency Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1790772747DR. PHILIP PAUL METZGER M.D.
Individual
Colon & Rectal Surgery4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1316935190DR. SANFORD JOSPEH FINCK M.D.
Individual
Internal Medicine (Critical Care Medicine)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1871582726DR. JAN MARIE LARSON M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1437148392DR. JERRY WAYNE SAYRE M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1912996877DR. WALTER CLYBURN TAYLOR III M.D.
Individual
Family Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1689663569DR. JAMES SAMUEL SCOLAPIO M.D.
Individual
Internal Medicine (Gastroenterology)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1598754210DR. RONALD ALBERT HINDER M.D.
Individual
Surgery4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1043209778DR. WILLIAM JAMES MAPLES M.D.
Individual
Internal Medicine (Hematology & Oncology)4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1578552204DR. SHARON YVETT EZELL GERLACH M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1619966348DR. FRANCOIS LETTE M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1154310886DR. KAY MULLINAX MITCHELL M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1518956192DR. KENNETH GORDON NIX JR. M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1548259138DR. KATHLEEN ALLEN ROWLETT M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000
1427047018DR. JAMES HANNIS STEWART M.D.
Individual
Internal Medicine4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
(904) 953-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265820112, enumerated in the NPI registry as an "individual" on December 30, 2014

The provider is located at 4500 San Pablo Rd S Jacksonville, Fl 32224 and the phone number is (904) 953-2000

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 11 years of experience.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): MAYO CLINIC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on December 30, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.