Individual provider Active NPI

Carmen Laura Mesa Cepero, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1073405346
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040746 Issued in FL
Practice address
9960 Atrium Way
Jacksonville, FL 32225-6487
Phone
(904) 724-4726
NPI assigned
Jul 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 11040746 FL Primary

Addresses

Primary practice location

9960 Atrium Way
Jacksonville, FL 32225-6487

Mailing address

9960 Atrium Way
Jacksonville, FL 32225-6487

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
I20260618002404 FL Practitioner - Nurse Practitioner 2961974159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7423 Arble Dr
Jacksonville, FL 32211-5070

9611 SW 40TH St
Miami, FL 33165-4030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11040746FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L&L Total Health LLC Current Accepting new patients

Organizations & group practices 2

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": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1073405346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 ATRIUM WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 ATRIUM WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256487",
            "telephone_number": "904-724-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA CEPERO",
        "first_name": "CARMEN",
        "middle_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.