Individual provider Active NPI

Maria Saint-Pre, MD

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1053362095
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME93108 Issued in FL
Practice address
515 W 6TH St
Jacksonville, FL 32206-4324
Phone
(904) 253-1080
Fax
(904) 253-2514
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME93108 FL Primary

Addresses

Primary practice location

515 W 6TH St
Jacksonville, FL 32206-4324

Mailing address

921 N Davis St.,
Building a Suite 251
Jacksonville, FL 32209
Phone (904) 253-1080

Other identifiers 2

IdentifierTypeStateIssuer
272216181AMedicaidGA
273725600MedicaidFL

Other names 1

  • Dr. Maria Sherley Boursiquot 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000744 FL Practitioner - Pediatric Medicine 8527127919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME93108FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Oct 11, 2024 Accepting new patients
Florida Department of Health CurrentSince Oct 11, 2024 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

921 N Davis St
Bldg B
Jacksonville, FL 32209
Phone (904) 601-2191

515 W 6th St
#51
Jacksonville, FL 32206
Phone (904) 630-3380

900 University Blvd N
#75
Jacksonville, FL 32211
Phone (904) 253-1002

5300 N Pearl St
Jacksonville, FL 32208
Phone (904) 253-1025

921 N Davis St
Ste 251
Jacksonville, FL 32209

515 W 6th St
Jacksonville, FL 32206
Phone (904) 253-1040

921 N Davis St
Bldg A
Jacksonville, FL 32209
Phone (904) 253-1639

Organizations & group practices 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1053362095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N DAVIS ST.,",
            "address_2": "BUILDING A SUITE 251",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-253-1080",
            "fax_number": "904-253-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 6TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064324",
            "telephone_number": "904-253-1080",
            "fax_number": "904-253-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT-PRE",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272216181A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273725600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BOURSIQUOT",
            "middle_name": "SHERLEY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.