Individual provider Active NPI

Angelina Denise Evans, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1104029107
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2835902 Issued in FL
Practice address
820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone
(904) 202-3860
Fax
(904) 202-3846
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2835902 FL
Family Nurse Practitioner 363LF0000X APRN2835902 FL
Nurse Practitioner 363L00000X APRN2835902 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Other practice location 1

1658 St Vincents Way Ste 240
Middleburg, FL 32068-8459
Phone (904) 449-7288

Other practice location 2

1200 Riverplace Blvd
Suite: 620
Jacksonville, FL 32207-9046
Phone (904) 396-6620

Other names 1

  • Angelina Denise Morales Former name

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
I20071012000670 FL Practitioner - Nurse Practitioner 0143316604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

820 Prudential Dr
Suite 304
Jacksonville, FL 32207-8205
Phone (904) 202-3860

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2835902FLMDNurse Practitioner
2835902FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Nurse Practitioner Current Accepting new patients
Baptist Primary Care Inc. CurrentSince Jul 15, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 1, 2018 Accepting new patients
Baptist Primary Care Inc CurrentSince Jul 15, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 1, 2018 Accepting new patients
Medlink Management Services Inc Past Accepting new patients
North Florida Emergency Physicians Past Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner Past Accepting new patients

Locations

820 Prudential Dr
Ste 304
Jacksonville, FL 32207
Phone (904) 202-3860

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

4203 Belfort Rd
Ste 345
Jacksonville, FL 32216
Phone (904) 296-0691

1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200

1658 St Vincents Way
Ste 200
Middleburg, FL 32068
Phone (904) 214-8100

1658 St Vincents Way
Ste 240
Middleburg, FL 32068
Phone (904) 449-7288

Interoperability endpoints

  • Direct secure messaging: amorales24947@baptisthealthsystemjacksonville.direct-ci.com
  • Direct secure messaging: angelina.morales.1@8967.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1104029107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078205",
            "telephone_number": "904-202-3860",
            "fax_number": "904-202-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1658 St Vincents Way Ste 240",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320688459",
            "country_code": "US",
            "telephone_number": "904-449-7288",
            "fax_number": "904-203-2173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Riverplace Blvd",
            "address_2": "Suite: 620",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322079046",
            "country_code": "US",
            "telephone_number": "904-396-6620",
            "fax_number": "904-396-6528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ANGELINA",
        "middle_name": "DENISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2835902",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2835902",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2835902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELINA",
            "last_name": "MORALES",
            "middle_name": "DENISE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.