Individual provider Active NPI

Sharon M Cooley, APRN

  • Family Nurse Practitioner
  • Fleming Island, FL
National Provider Identifier
1053487819
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9382212 Issued in FL
Practice address
1845 Town Center Blvd
BLDG. 600, Box # 15
Fleming Island, FL 32003-3356
Phone
(904) 529-2800
Fax
(904) 529-2802
NPI assigned
Nov 24, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP 08653 OH
Family Nurse Practitioner 363LF0000X 9382212 FL Primary

Addresses

Primary practice location

1845 Town Center Blvd
BLDG. 600, Box # 15
Fleming Island, FL 32003-3356

Mailing address

1845 Town Center Blvd.
BLDG. 600, Box # 15
Fleming Island, FL 32003
Phone (904) 213-3259

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
I20150430001560 FL Practitioner - Nurse Practitioner 4284739566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1845 Town Ctr Blvd
Suite 400
Fleming Island, FL 32003-3356
Phone (904) 529-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 08653OHMDNurse Practitioner
9382212FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 25, 2017 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 25, 2017 Accepting new patients
Commonwealth of Virginia State Board of Health Past Accepting new patients
Commonwealth of Virginia State Board of Health Past Accepting new patients

Locations

6015 118th St
Jacksonville, FL 32244
Phone (904) 633-0610

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

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1053487819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD.",
            "address_2": "BLDG. 600, BOX # 15",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-213-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 TOWN CENTER BLVD",
            "address_2": "BLDG. 600, BOX # 15",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033356",
            "telephone_number": "904-529-2800",
            "fax_number": "904-529-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "SHARON",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP 08653",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9382212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.