Individual provider Active NPI

Adrianna Marie Pifer, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1215724547
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038627 Issued in FL
Practice address
430 Sr 13
Jacksonville, FL 32259
Phone
(800) 803-7859
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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 APRN11038627 FL Primary

Addresses

Primary practice location

430 Sr 13
Jacksonville, FL 32259

Mailing address

21 Willow Island PT
St Augustine, FL 32092-1982
Phone (321) 615-2383

Other practice location 1

701 Northpoint Pkwy Ste 104
West Palm Beach, FL 33407-1950
Phone (941) 444-0011

Other practice location 2

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

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
I20251118003628 FL Practitioner - Nurse Practitioner 5294226130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divani Dermatology LLCGroup PAC ID 2961733803, 13 clinicians

Practice addresses (Care Compare)

8745 N US Hwy 1
Sebastian, FL 32958-7524
Phone (772) 217-5362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038627FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divani Dermatology LLC CurrentSince Oct 13, 2025 Accepting new patients

Locations

311 Barefoot Blvd
Ste 1
Barefoot Bay, FL 32976
Phone (772) 217-5362

930 S Harbor City Blvd
Ste 101
Melbourne, FL 32901
Phone (321) 345-7579

2571 W Eau Gallie Blvd
Ste 2
Melbourne, FL 32935
Phone (321) 777-9091

8745 N US Highway 1
Sebastian, FL 32958
Phone (772) 217-5362

4800 20th St
Vero Beach, FL 32966
Phone (772) 217-5362

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1215724547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILLOW ISLAND PT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921982",
            "telephone_number": "321-615-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SR 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "800-803-7859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Northpoint Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334071950",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061226",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIFER",
        "first_name": "ADRIANNA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.