Individual provider Active NPI

Nicole Michele Pascarella, DNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1093369894
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004038 Issued in FL
Practice address
10250 Normandy Blvd Unit 201
Jacksonville, FL 32221-8066
Phone
(904) 652-0870
Fax
(904) 652-2308
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9393595 FL
Family Nurse Practitioner 363LF0000X 11004038 FL Primary

Addresses

Primary practice location

10250 Normandy Blvd Unit 201
Jacksonville, FL 32221-8066

Mailing address

10250 Normandy Blvd Unit 201
Jacksonville, FL 32221-8066
Phone (904) 652-0870

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Nicole.Pascarella@jax.ufl.edu Direct

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
I20220712004222 FL Practitioner - Nurse Practitioner 4587045299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004038FLMDFamily Nurse Practitioner
9393595FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 11, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Pediatric Associates at Argyle PA PastSince Aug 1, 2019 Accepting new patients
Pediatric Associates at Argyle PA PastSince Aug 27, 2023 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

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

Organizations & group practices 5

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1093369894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 NORMANDY BLVD UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218066",
            "telephone_number": "904-652-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 NORMANDY BLVD UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218066",
            "telephone_number": "904-652-0870",
            "fax_number": "904-652-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "NICOLE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9393595",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nicole.Pascarella@jax.ufl.edu",
            "affiliation": "N",
            "endpointDescription": "Nicole.Pascarella@jax.ufl.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "655 W 8th St",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322096511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.