Monica Freeman, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11028996 Issued in FL

Practice address

865 Blanding Blvd
Orange Park, FL 32065-8917

Phone

(904) 276-1133

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clay Primary and Family Care LLCGroup PAC ID 0840196176, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.78 of 100Reported as group

Quality

74.39

Promoting interoperability

100

Improvement activities

40

Cost

78.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clay Primary & Family Care LLC

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1730186792
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1093266470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 COUNTY ROAD 220 APT 3108",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320039114",
            "telephone_number": "660-624-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658917",
            "telephone_number": "904-276-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 S Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65807",
            "country_code": "US",
            "telephone_number": "417-269-2281",
            "fax_number": "417-269-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Main St",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953805107",
            "country_code": "US",
            "telephone_number": "209-668-5388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2090 Smoketree Ave N",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "86403",
            "country_code": "US",
            "telephone_number": "928-854-1800",
            "fax_number": "928-854-1847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 W Buchanan St",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MO",
            "postal_code": "650181228",
            "country_code": "US",
            "telephone_number": "573-796-3111",
            "fax_number": "573-796-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MONICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007002622",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026969",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016036906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank W. Bowden, III, MD, Facs, PA (Bowden Eye & Associates)
• Robert Emmet Frank, MD
• Kendra Frazier
• Colette Y Freda
• James Dean Free, D.O.
• Kristina Marie French, PT
• Emily Rae Fricker, LCSW
• From Chains to Glory Enterprise
• Rebekah Lynne Fronczak
• Kelly K Frustaci, PT

• Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.