Meinrado L Pontejos, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11011020 Issued in FL

Practice address

11236 Baptist Health Dr Ste 220
Jacksonville, FL 32218-2988

Phone

(904) 696-6900

Fax

(904) 390-7502

NPI assigned

Mar 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIABAA
• FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA

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.

• Beach Medical Specialist PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1720125479
  NPD
• Coastal Plus Medical Center Inc

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1407172018
  NPD
• North Florida Multispecialty Physicians LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1639593213
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1184209249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11236 BAPTIST HEALTH DR STE 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182988",
            "telephone_number": "904-696-6900",
            "fax_number": "904-390-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTEJOS",
        "first_name": "MEINRADO",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011020",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Edessa Pondevida, RPH
• Sandeep Anthony Ponniah, M.D
• Umakumaran P Ponniah, MD
• David Pons
• Robert A Ponte, MD
• Faith Marie Ponti
• Kaitlyn Pontrelli, NP
• Prerna Poojary, PHD, OTR/L
• Kasey Poole
• Melissa Burgamy Poole, LMHC

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.