Individual provider Active NPI

Kristen Prescott, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1023494275
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005355 Issued in FL
Practice address
4815 Sweetgrass PL Unit 201
Jacksonville, FL 32224-0131
Phone
(904) 367-3373
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005355 FL Primary

Addresses

Primary practice location

4815 Sweetgrass PL Unit 201
Jacksonville, FL 32224-0131

Mailing address

232 Seamist CT
Ponte Vedra Beach, FL 32082-4039
Phone (812) 525-9685

Other identifiers 2

IdentifierTypeStateIssuer
112707700MedicaidFL
OF065OtherFLMEDICARE

Other names 1

  • Kristen Montgomery Former name

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
I20211001002428 FL Practitioner - Nurse Practitioner 5193033488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Visiting Practitioners, LLCGroup PAC ID 7810239100, 25 clinicians
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

Practice addresses (Care Compare)

140 S Beach St
Suite 202
Daytona Beach, FL 32114-4409
Phone (888) 506-8836

4815 Sweetgrass PL
Unit 201
Jacksonville, FL 32224-0131
Phone (904) 367-3373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005355FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical, PA CurrentSince Oct 7, 2025 Accepting new patients
Avecina Medical PA CurrentSince Oct 7, 2025 Accepting new patients
Behavioral Health Services of Florida LLC CurrentSince Jun 28, 2024 Accepting new patients
Mobile Visiting Practitioners, LLC CurrentSince Jun 28, 2024 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Family Care Partners Urgent Care, LLC Past Accepting new patients

Locations

140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

30 Epic Blvd
Ste 100
St Augustine, FL 32086
Phone (904) 217-3881

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1023494275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SEAMIST CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824039",
            "telephone_number": "812-525-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 SWEETGRASS PL UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240131",
            "telephone_number": "904-367-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "KRISTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112707700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OF065",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MONTGOMERY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.