Individual provider Active NPI

Chaquanta Enjoli Eberheart, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1013410844
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9288070 Issued in FL
Practice address
820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone
(904) 202-3860
Fax
(904) 202-3846
NPI assigned
Mar 18, 2018
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9288070 FL
Nurse Practitioner 363L00000X APRN9288070 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608002328 FL Practitioner - Nurse Practitioner 8729333059 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
Hni Hospital Services of Florida LLCGroup PAC ID 0244661353, 44 clinicians
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (512) 730-3056

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3700

4901 Richard St
Jacksonville, FL 32207-7328
Phone (512) 730-3060

820 Prudential Dr
Suite 304
Jacksonville, FL 32207-8205
Phone (904) 202-3860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9288070FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Dec 11, 2023 Accepting new patients
Hni Hospital Services of Florida, LLC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince Dec 29, 2022 Accepting new patients
Baptist Primary Care Inc CurrentSince Dec 11, 2023 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Dec 29, 2022 Accepting new patients
Kidney Clinic of North Florida PLLC CurrentSince Jul 1, 2023 Accepting new patients
Baptist Primary Care Inc Nurse Practitioner Current Accepting new patients
Hni Medical Services of Florida, LLC Nurse Practitioner CurrentSince Jun 12, 2019 Accepting new patients
Physical Medicine Specialists, Inc. CurrentSince Apr 6, 2023 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

12620 Beach Blvd
Ste 3-422
Jacksonville, FL 32246

3599 University Blvd S
Ste 103
Jacksonville, FL 32216

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

6885 Belfort Oaks Pl
Ste 230
Jacksonville, FL 32216
Phone (904) 222-6176

820 Prudential Dr
Ste 304
Jacksonville, FL 32207
Phone (904) 202-3860

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: ceberheart163630@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1013410844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078205",
            "telephone_number": "904-202-3860",
            "fax_number": "904-202-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHEART",
        "first_name": "CHAQUANTA",
        "middle_name": "ENJOLI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9288070",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9288070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.