Individual provider Active NPI

Crista Michelle Green-Propes, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1154832855
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9204774 Issued in FL
Practice address
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone
(904) 720-6156
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9204774 FL Primary

Addresses

Primary practice location

3625 University Blvd S
Jacksonville, FL 32216-4207

Mailing address

3390 Oglebay Dr
Green Cove Springs, FL 32043-9282
Phone (904) 401-4414

Other practice location 1

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 285-2555

Other practice location 2

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (352) 726-1551

Other identifiers 1

IdentifierTypeStateIssuer
694592MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180110003562 FL Practitioner - Nurse Practitioner 0648539080 Reassigns benefits to 4 organizations
I20180814004297 GA Practitioner - Nurse Practitioner 0648539080 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9204774FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Emergency Physician Services Inc CurrentSince Oct 7, 2019 Accepting new patients
Paragon Emergency Services LLC CurrentSince Apr 28, 2019 Accepting new patients
Epn Urgent Care LLC Current Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
FL-I Medical Services LLC CurrentSince Apr 29, 2019 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jul 31, 2019 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
FL-I Medical Services LLC CurrentSince Apr 29, 2019 Accepting new patients
Urgent Care of Naples PA CurrentSince Dec 1, 2019 Accepting new patients
Sheridan Emergency Physician Services Inc CurrentSince Oct 7, 2019 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

120 Health Park Blvd
St Augustine, FL 32086
Phone (888) 481-2135

70 Turin Ter
Ste 110
St Augustine, FL 32092
Phone (904) 819-7200

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Organizations & group practices 10

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": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1154832855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 OGLEBAY DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439282",
            "telephone_number": "904-401-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-720-6156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Tebeau St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315016357",
            "country_code": "US",
            "telephone_number": "912-285-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344524720",
            "country_code": "US",
            "telephone_number": "352-726-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN-PROPES",
        "first_name": "CRISTA",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9204774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.