Individual provider Active NPI

Josephine Marcelin, NP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1194520924
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035143 Issued in FL
Practice address
6820 Saint Augustine Rd Ste a
Jacksonville, FL 32217-2818
Phone
(904) 337-1268
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 APRN11035143 FL Primary

Addresses

Primary practice location

6820 Saint Augustine Rd Ste a
Jacksonville, FL 32217-2818

Mailing address

10342 Woodley Point Rd
Jacksonville, FL 32218-9186
Phone (904) 535-2100

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
I20251227000534 FL Practitioner - Nurse Practitioner 3971099060

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11035143FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Family Wellness Care Center, Inc. Family CurrentSince Mar 11, 2025 Accepting new patients
Universal Family Care, LLC Family CurrentSince Feb 23, 2025 Accepting new patients

Locations

6820 Saint Augustine Rd
#A
Jacksonville, FL 32217
Phone (904) 337-1268

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ec6b7097-8351-4185-ba79-b9f0c80b045f/

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.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1194520924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10342 WOODLEY POINT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189186",
            "telephone_number": "904-535-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 SAINT AUGUSTINE RD STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172818",
            "telephone_number": "904-337-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELIN",
        "first_name": "JOSEPHINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.