Individual provider Active NPI

Stephanie Jones

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1033850417
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018832 Issued in FL
Practice address
12215 Heronsford LN
Jacksonville, FL 32258-9468
Phone
(904) 510-8557
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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 11018832 FL Primary

Addresses

Primary practice location

12215 Heronsford LN
Jacksonville, FL 32258-9468

Mailing address

12215 Heronsford LN
Jacksonville, FL 32258-9468

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
I20220906000354 FL Practitioner - Nurse Practitioner 0840674180 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians

Practice addresses (Care Compare)

9960 Atrium Way
Jacksonville, FL 32225-6487
Phone (865) 693-1000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
85.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018832FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Pacs 2 Medical Group Inc CurrentSince Jun 1, 2022 Accepting new patients
Physical Medicine Specialists, Inc. CurrentSince Feb 5, 2024 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 23, 2024 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Jun 6, 2022 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

12740 Lanier Rd
Jacksonville, FL 32226
Phone (904) 757-0600

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

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

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

4513 Executive Dr
Fl 2
Naples, FL 34119

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 4

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1033850417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 HERONSFORD LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 HERONSFORD LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589468",
            "telephone_number": "904-510-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.