Coordinated kidney care for Medicare patients through the CMS ACCESS Model. Nephrology Consultants of Jax, LLC is proud to participate in the CMS Advancing Chronic Care, Equity, Sustainability, and Safety (ACCESS) Model — delivering integrated, high-quality kidney care to Medicare patients across Jacksonville and surrounding communities.
Medicare Patients Only: The ACCESS Model program is available exclusively for patients with Medicare insurance. Please confirm Medicare eligibility before submitting a referral.
The CMS ACCESS (Advancing Chronic Care, Equity, Sustainability, and Safety) Model is a federal value-based care initiative designed to improve outcomes for Medicare patients with kidney disease through coordinated, team-based nephrology care.
Streamlined communication between nephrologists, PCPs, and the care team — so nothing falls through the cracks for your Medicare patients.
Proactive chronic disease management, remote monitoring, and frequent touchpoints to slow CKD progression and reduce hospitalizations.
Aligned incentives that reward quality and outcomes over volume — supporting shared goals for your patients' long-term kidney health.
Collaboration with your practice through Epic Secure Chat or direct fax — keeping you informed on all shared patients.
CCM, RPM, transplant care, dialysis, transitional care management, and family education — all under one nephrology roof.
Four convenient Jacksonville-area locations and hospital privileges at Baptist Medical Center to serve your patients close to home.
Referring a Medicare patient to our ACCESS Model program is simple. Follow the steps below — we'll handle the rest and keep you informed.
Verify the patient has Medicare insurance. The ACCESS Model is exclusively for Medicare beneficiaries. Confirm the clinical indication warrants nephrology consultation (CKD, hypertension, transplant candidacy, dialysis, etc.).
Collect all required details before sending (see the checklist below). Having complete information ensures the fastest possible scheduling for your patient.
Select whichever method is most convenient for your practice:
(904) 396-4803
Available 24/7. Fax your referral with the required patient information directly to our dedicated referral line.
Fax NowIf your practice uses Epic, send your referral directly via Epic Secure Chat for a seamless, integrated workflow.
Available to Epic-connected practices only.
We do not accept referrals by email. Please use fax or Epic Secure Chat only.
For referral questions, status updates, or clinical coordination, call our office directly during business hours.
(904) 398-8266Please include all of the following in your referral to ensure prompt scheduling and the highest quality of care for your patient.
Patient Name
Full legal name as it appears on insurance
Date of Birth
Required for patient identification and scheduling
Medicare Insurance Information
Medicare ID / MBI number and any secondary insurance
Clinical Reason / Diagnosis
Reason for referral, relevant ICD-10 codes, and clinical indication
Current Medications
Complete medication list including dosages
Any Relevant Clinical History
Lab results (BMP, urinalysis, GFR trend), imaging, prior nephrology notes, or other pertinent clinical information
The ACCESS Model program serves Medicare patients with kidney-related conditions.
This program accepts Medicare only, including Medicare Advantage (coverage verification required).
All stages, including monitoring & progression management
Resistant or nephrology-related hypertension
Hyperkalemia, metabolic acidosis, fluid balance
Hemodialysis and peritoneal dialysis management
Candidacy evaluation and post-transplant care
Post-hospitalization follow-up and AKI management
Our ACCESS Model program offers a comprehensive suite of services to support the full continuum of kidney care for your Medicare patients.
Monthly care plan oversight and between-visit coordination
Continuous monitoring of vitals and kidney health metrics
Staged care to slow progression and prevent complications
Nephrology-guided BP optimization for kidney protection
Evaluation, preparation, and post-transplant follow-up
Hemodialysis and peritoneal dialysis initiation and management
Post-discharge follow-up to reduce readmissions
Patient & caregiver education on kidney disease and self-management
Your patients will receive expert nephrology care from our experienced team of board-certified nephrologists and advanced practice providers.
Nephrologist, MD
Nephrologist, MD
Nephrologist, MD
Nephrologist, MD
Our physicians have active privileges at these leading hospitals, ensuring continuity of care for your hospitalized Medicare patients.
800 Prudential Drive, Jacksonville, FL 32207
14550 Old St. Augustine Road, Jacksonville, FL 32258
1771 Baptist Clay Drive, Fleming Island, FL 32003
Our referral team is standing by. Fax your referral anytime or call us during office hours.
(904) 396-4803
Available 24/7
(904) 398-8266
Questions & follow-up
For Epic-connected practices only
Monday – Thursday: 8:30 AM – 5:00 PM
Friday: 8:30 AM – 12:30 PM
Fax your completed referral form — including patient name, DOB, Medicare info, clinical reason, medications, and relevant history — to our dedicated line.
Referral Fax Number
(904) 396-4803
No email referrals accepted. Phone and fax only.
