Individual provider Active NPI

Cesci Wright

  • Family Nurse Practitioner
  • Ponte Vedra Beach, FL
National Provider Identifier
1174161962
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004675 Issued in FL
Practice address
296 Princess Dr
Ponte Vedra Beach, FL 32081-5050
Phone
(904) 525-0250
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 11004675 FL Primary

Addresses

Primary practice location

296 Princess Dr
Ponte Vedra Beach, FL 32081-5050

Mailing address

296 Princess Dr
Ponte Vedra Beach, FL 32081-5050
Phone (904) 525-0250

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
I20200224000250 FL Practitioner - Nurse Practitioner 7618304122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Infectious Disease Consultants LLCGroup PAC ID 2567551104, 9 clinicians

Practice addresses (Care Compare)

2035 Professional Ctr Dr
Suite B
Orange Park, FL 32073-4462
Phone (904) 398-5614

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004675FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Infectious Disease Consultants LLC CurrentSince Aug 24, 2022 Accepting new patients
Georgia Infectious Disease Consultants Past Accepting new patients

Locations

2122 University Blvd S
Jacksonville, FL 32216
Phone (904) 398-5614

2035 Professional Center Dr
Orange Park, FL 32073
Phone (904) 272-0384

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/

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.

Hospital & facility affiliations 6

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1174161962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 PRINCESS DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815050",
            "telephone_number": "904-525-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 PRINCESS DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815050",
            "telephone_number": "904-525-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CESCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.