Janice Valerio Miciano, APRN
Individual provider Active NPI Family Nurse Practitioner · Jacksonville, FL
NPI 1093352809 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1093352809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11005116 (FL)
- Practice address
- 8613 Old Kings Rd South. Suite 602
Jacksonville, FL 32217 - Phone
- (904) 493-3390
- NPI assigned
- Nov 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Symphony Specialty Group, LLC
Practice addresses (Care Compare)
8613 Old Kings Rd S
Suite 602
Jacksonville, FL 32217-4863
Phone (904) 493-3390
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210128001670 | FL | Practitioner - Nurse Practitioner | 8628482965 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11005116 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symphony Specialty Group, LLC | Current |
Accepting new patients | |
| Physical Healthcare of Jacksonville Inc | Family | Current |
Accepting new patients |
| Jacksonville Hospitalists PA | Current |
Accepting new patients | |
| Mark Pierce Chiropractic Clinic | Past |
Accepting new patients |
Locations
12620 Beach Blvd
Ste 6
Jacksonville, FL 32246
Phone (904) 645-0777
8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11005116 | FL | Yes |
Addresses
Primary practice location
8613 Old Kings Rd South. Suite 602
Jacksonville, FL 32217
Mailing address
8613 Old Kings Rd. South Suite 602
Jacksonville, FL 32217
Phone (904) 493-3390
Other providers in Jacksonville, FL
- Michelle Johnson
- Michelle McLanahan, M.D., P.a.
- Jan K Michelsen
- Thomas A Michelsen
- Jenna Michelson
- Taylor Mickelson
- Jada Mickens
- Sabrina Mickens
- Melanie Reynolds Mickey
- William Robert Mickle
All providers in Jacksonville, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.