Jeremy Ron Alquizar – Primary Care Nurse Practitioner

Key facts

NPI: 1104777598
Entity type: Individual (NPI type 1)
Primary specialty: Primary Care Nurse Practitioner 363LP2300X
License: APRN11043624 (FL)
Practice address: 1851 Old Moultrie Rd
St Augustine, FL 32084-4168
Phone: (904) 824-8088
NPI assigned: Feb 3, 2026
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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.

James F Connor PA Family Medicine Physician · St Augustine, FL · NPI 1841211018

Medicare reassignment Care Compare group NPD FL
Paul D Jayachandra M D P a Specialist · St Augustine, FL · NPI 1295870830

NPD (past)

Hospital & facility affiliations 2

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

Flagler Hospital Inc General Acute Care Hospital · St Augustine, FL · NPI 1144211020

Care Compare affiliation Hospital
Flagler Hospital, Inc. Urgent Care Clinic/Center · Saint Augustine, FL · NPI 1447527965

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2025
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: James F Connor PA (4 clinicians)

Practice addresses (Care Compare)

1851 Old Moultrie Rd a
Saint Augustine, FL 32084-4167
Phone (904) 824-8088

Hospital & facility affiliations

Flagler Hospital Hospital · Saint Augustine, FL · CCN 100090

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
I20260303000758	FL	Practitioner - Nurse Practitioner	3577045343	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
APRN11043624	FL	MD	Primary Care Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
James F Connor PA		Current since Feb 23, 2026	Accepting new patients
Paul D Jayachandra M D P a		Past since Feb 23, 2026	Accepting new patients

Locations

1851 Old Moultrie Rd
Ste A
St Augustine, FL 32084
Phone (904) 824-7476

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/IBHJBA
FHIR API: https://fhir4.healow.com/fhir/r4/IBHJBA/Endpoint/IBHJBA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Nurse Practitioner	363LP2300X	APRN11043624	FL	Yes

Addresses

Primary practice location

1851 Old Moultrie Rd
St Augustine, FL 32084-4168

Mailing address

7154 Ambrosius Way
Jacksonville, FL 32258-6541
Phone (904) 887-7459

Other providers in St Augustine, FL

All providers in St Augustine, FL · Primary Care 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 Feb 3, 2026. 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.

Verify at the official NPI Registry.