Individual provider Active NPI

Denise Pollock, FNP

  • Family Nurse Practitioner
  • St Johns, FL
National Provider Identifier
1164044608
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011185 Issued in FL
Practice address
405 N Steel Bridge Rd Unit 3
St Johns, FL 32259-4878
Phone
(540) 793-1563
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011185 FL Primary
Family Nurse Practitioner 363LF0000X 0024179226 VA

Addresses

Primary practice location

405 N Steel Bridge Rd Unit 3
St Johns, FL 32259-4878

Mailing address

1029 Buttercup Dr
St Johns, FL 32259-4511
Phone (540) 793-1563

Other practice location 1

501 Great Circle Rd Fl 3
Nashville, TN 37228-1317
Phone (615) 679-9087

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
I20211223001641 FL Practitioner - Nurse Practitioner 7517358732 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011185FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services of Florida LLC CurrentSince Sep 16, 2021 Accepting new patients
Pophealthcare, LLC CurrentSince Aug 21, 2025 Accepting new patients
Mobile Visiting Practitioners, LLC CurrentSince Sep 16, 2021 Accepting new patients
Pophealthcare, LLC Family CurrentSince Aug 21, 2025 Accepting new patients

Locations

140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • Direct secure messaging: denise.pollock@237407481626628.direct.elationemr.com
  • Direct secure messaging: denise.pollack.1@29290.direct.athenahealth.com

Organizations & group practices 4

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1164044608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 BUTTERCUP DR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594511",
            "telephone_number": "540-793-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N STEEL BRIDGE RD UNIT 3",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594878",
            "telephone_number": "540-793-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Great Circle Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281317",
            "country_code": "US",
            "telephone_number": "615-679-9087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011185",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johns, FL

Sources for this page

Verify at the official NPI Registry.