Individual provider Active NPI

Benjamin A Debski, APRN

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1023558228
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9369127 Issued in FL
Practice address
1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone
(904) 276-5700
Fax
(904) 272-1474
NPI assigned
Mar 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 ARNP9369127 FL Primary

Addresses

Primary practice location

1996 Kingsley Ave
Orange Park, FL 32073-4442

Mailing address

3176 Southern Oaks Dr
Green Cove Springs, FL 32043-9454
Phone (321) 501-0611

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
I20170913001856 FL Practitioner - Nurse Practitioner 4587937529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pointe Medical Services IncGroup PAC ID 3274432125, 4 clinicians

Practice addresses (Care Compare)

1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone (904) 276-5700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 23, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jul 23, 2018 Accepting new patients
Pointe Medical Services Inc CurrentSince May 20, 2017 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Pointe Med Pharmacy, Inc. PastSince May 20, 2017 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

1996 Kingsley Ave
Orange Park, FL 32073
Phone (904) 272-9679

1996 Kingsley Ave
#A
Orange Park, FL 32073

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20909/brand/1/csg/1/fhir/r4
  • Direct secure messaging: benjamin.debski.1@20909.direct.athenahealth.com

Organizations & group practices 5

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1023558228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 SOUTHERN OAKS DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439454",
            "telephone_number": "321-501-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-276-5700",
            "fax_number": "904-272-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBSKI",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9369127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.