Individual provider Active NPI

Monica Jemison

  • Family Nurse Practitioner
  • Milton, FL
National Provider Identifier
1043883788
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014083 Issued in FL
Practice address
5277 Goshawk Dr
Milton, FL 32570-5023
Phone
(850) 499-6998
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 APRN11014083 FL Primary

Addresses

Primary practice location

5277 Goshawk Dr
Milton, FL 32570-5023

Mailing address

5277 Goshawk Dr
Milton, FL 32570-5023

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
I20230109001032 FL Practitioner - Nurse Practitioner 1850761826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radial Health Southeast LLCGroup PAC ID 7113357476, 24 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
Pensacola, FL 32514-0321
Phone (850) 494-3212

Merit-based Incentive Payment System (MIPS)

Final score
96.82 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8325 University Pkwy
Pensacola, FL 32514
Phone (850) 324-9633

9310 Fowler Ave
Pensacola, FL 32534
Phone (850) 430-0600

3291 E Olive Rd
Pensacola, FL 32514
Phone (850) 471-5400

3152 Little Rd
Trinity, FL 34655
Phone (727) 271-9156

Organizations & group practices 1

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1043883788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 GOSHAWK DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 GOSHAWK DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705023",
            "telephone_number": "850-499-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMISON",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.