Active NPI
Jan Michael Bernal Trinidad, ARNP
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9285575
- Practice address
- 836 Prudential Dr Ste 1400
Jacksonville, FL 32207-8340 - Phone
- (904) 388-6518
- Fax
- (904) 384-1005
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9285575 | FL | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9285575 | FL |
Addresses
Primary practice location
836 Prudential Dr Ste 1400
Jacksonville, FL 32207-8340
Mailing address
PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092
Other practice location 1
1747 Baptist Clay Dr Ste 200
Fleming Island, FL 32003-8505
Phone (904) 202-6683
Other practice location 2
1370 13th Ave S Ste 118
Jacksonville Beach, FL 32250-3206
Phone (904) 388-6518
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003156756A | Medicaid | GA | |
| 014218500 | Medicaid | FL |
Other names 1
- Jan Bernal Trinidad
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
836 Prudential Dr
Suite 1400
Jacksonville, FL 32207-8340
Phone (904) 388-6518
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Baptist Medical Center - Nassau
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.78 of 100
- Quality
- 65.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9285575 | FL | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyerly Baptist Inc | Nurse Practitioner | Current | Accepting new patients |
| Lyerly Baptist Inc | Past | Accepting new patients | |
| Baptist Neurology Inc | Past | Accepting new patients |
Locations
836 Prudential Dr
Ste 1400
Jacksonville, FL 32207
Phone (904) 396-0000
800 Prudential Dr
Fl 11
Jacksonville, FL 32207
Phone (904) 202-4765
800 Prudential Dr
Ste 1100
Jacksonville, FL 32207
Phone (904) 338-6518
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
1370 13th Ave S
Ste 118
Jacksonville Beach, FL 32250
Phone (904) 247-1456
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
Interoperability endpoints
- jtrinidad17384@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1851347801
Nurse Practitioner
-
- Neurology Physician
- Jacksonville, FL
- NPI 1598995599
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1740515006
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1225433758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746647",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746647",
"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": "836 PRUDENTIAL DR STE 1400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078340",
"telephone_number": "904-388-6518",
"fax_number": "904-384-1005"
}
],
"practiceLocations": [
{
"address_1": "1747 Baptist Clay Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320038505",
"country_code": "US",
"telephone_number": "904-202-6683",
"fax_number": "904-376-3062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1370 13th Ave S Ste 118",
"address_purpose": "LOCATION",
"city": "Jacksonville Beach",
"state": "FL",
"postal_code": "322503206",
"country_code": "US",
"telephone_number": "904-388-6518",
"fax_number": "904-388-1005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRINIDAD",
"first_name": "JAN MICHAEL",
"middle_name": "BERNAL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9285575",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "RN9285575",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003156756A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014218500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "TRINIDAD",
"middle_name": "BERNAL",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.