NPIMap

Individual provider Active NPI

Roxanna A McDonald, ARNP

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1114972841
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP 2808122 Issued in FL
Practice address
1947 Morningside St
Jacksonville, FL 32205-9390
Phone
(904) 402-9111
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP 2808122 FL
Family Nurse Practitioner 363LF0000X ARNP2808122 FL
Primary Care Nurse Practitioner 363LP2300X ARNP 2808122 FL Primary

Addresses

Primary practice location

1947 Morningside St
Jacksonville, FL 32205-9390

Mailing address

1947 Morningside St
Jacksonville, FL 32205-9390
Phone (904) 402-9111

Other identifiers 5

IdentifierTypeStateIssuer
305270200MedicaidFL
188514OtherFLHEALTHEASE
500030444OtherFLMCR RR
2061018OtherFLFCA
Y7859OtherFLBCBS FLORIDA

Other names 1

  • Roxanna A McDonald-Ebanks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217001859 WA Practitioner - Nurse Practitioner 9335299619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whidbey Island Public Hospital DistrictGroup PAC ID 1658280680, 100 clinicians

Practice addresses (Care Compare)

275 SE Cabot Dr
Oak Harbor, WA 98277-3740
Phone (360) 675-6648

Hospital & facility affiliations

  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2808122FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WGH Primary Care Associates, P.S. Current Accepting new patients
Whidbey Island Public Hospital District Current Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jan 20, 2025 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jan 20, 2025 Accepting new patients
Whidbey Island Public Hospital District Past Accepting new patients
Medical Professional Agency Inc Past Accepting new patients

Locations

275 SE Cabot Dr
Ste B101
Oak Harbor, WA 98277
Phone (360) 675-6648

Interoperability endpoints

  • Direct secure messaging: roxanna.mcdonald@wh.jhie.net
  • Direct secure messaging: roxanna.mcdonald.1@8967.direct.athenahealth.com
  • Direct secure messaging: roxanna.mcdonald.2@8967.direct.athenahealth.com

Organizations & group practices 6

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 9

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1114972841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 MORNINGSIDE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059390",
            "telephone_number": "904-402-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 MORNINGSIDE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059390",
            "telephone_number": "904-402-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ROXANNA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP 2808122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2808122",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP 2808122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305270200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "188514",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "500030444",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FCA",
            "identifier": "2061018",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "Y7859",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNA",
            "last_name": "MCDONALD-EBANKS",
            "middle_name": "A",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.