Individual provider Active NPI

Darlene Burch, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1083499412
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11028174 Issued in FL
Practice address
6428 Beach Blvd
Jacksonville, FL 32216-2813
Phone
(904) 475-2039
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11028174 FL Primary

Addresses

Primary practice location

6428 Beach Blvd
Jacksonville, FL 32216-2813

Mailing address

1542 Kingsley Ave Ste 136-137
Orange Park, FL 32073-4586
Phone (904) 458-7780

Other practice location 1

1542 Kingsley Ave Ste 136-137
Orange Park, FL 32073-4586
Phone (904) 458-7780

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
I20231009000492 FL Practitioner - Nurse Practitioner 4385099597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists of Northeast Florida PLLCGroup PAC ID 4587848163, 6 clinicians

Practice addresses (Care Compare)

6428 Beach Blvd
Suite 1a
Jacksonville, FL 32216-2813
Phone (904) 475-2039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of Northeast Florida PLLC CurrentSince Sep 1, 2023 Accepting new patients
S S Marathe MD PA PastSince Sep 1, 2023 Accepting new patients

Locations

6428 Beach Blvd
Jacksonville, FL 32216
Phone (904) 399-1623

9471 Baymeadows Rd
Ste 405
Jacksonville, FL 32256
Phone (904) 252-5025

6428 Beach Blvd
Ste 1A
Jacksonville, FL 32216
Phone (904) 342-0816

665 State Road 207
Ste 101B
Saint Augustine, FL 32084
Phone (386) 972-1066

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1083499412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE STE 136-137",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-458-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162813",
            "telephone_number": "904-475-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Kingsley Ave Ste 136-137",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734586",
            "country_code": "US",
            "telephone_number": "904-458-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCH",
        "first_name": "DARLENE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11028174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.