Individual provider Active NPI

Analyn Tesoro-Ofiara, APRN

  • Family Nurse Practitioner
  • Atlantic Beach, FL
National Provider Identifier
1225529761
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9211378 Issued in FL
Practice address
1029 Atlantic Blvd
Atlantic Beach, FL 32233-3313
Phone
(904) 246-7520
NPI assigned
May 21, 2018
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9211378 FL
Family Nurse Practitioner 363LF0000X APRN9211378 FL Primary
Registered Nurse 163W00000X RN9211378 FL

Addresses

Primary practice location

1029 Atlantic Blvd
Atlantic Beach, FL 32233-3313

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Other practice location 1

9310 Old Kings Rd S Ste 1303
Jacksonville, FL 32257-8100
Phone (904) 900-3472

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
I20190401001296 FL Practitioner - Nurse Practitioner 9032450069 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1029 Atlantic Blvd
Atlantic Beach, FL 32233-3313
Phone (904) 246-7520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9211378FLMDRegistered Nurse
APRN9211378FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Jan 2, 2024 Accepting new patients
Cornerstone Family Medicine LLC CurrentSince Sep 22, 2023 Accepting new patients
Baptist Primary Care Inc Nurse Practitioner Current Accepting new patients
Beach Medical Specialist PA CurrentSince Jul 19, 2021 Accepting new patients
Baptist Primary Care Inc. CurrentSince Jan 2, 2024 Accepting new patients
North Florida Multispecialty Physicians LLC PastSince Jul 19, 2021 Accepting new patients

Locations

1029 Atlantic Blvd
Atlantic Beach, FL 32233
Phone (904) 246-7520

6555 Chester Ave
Ste 1
Jacksonville, FL 32217
Phone (904) 265-8209

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

9310 Old Kings Rd S
Ste 1303
Jacksonville, FL 32257
Phone (904) 900-3472

9860 Beach Blvd
Jacksonville, FL 32246
Phone (904) 200-2978

Interoperability endpoints

  • Direct secure messaging: atesoroofiara169138@baptisthealthsystemjacksonville.direct-ci.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10036363
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIABAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1225529761",
    "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": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 ATLANTIC BLVD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "904-246-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9310 Old Kings Rd S Ste 1303",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578100",
            "country_code": "US",
            "telephone_number": "904-900-3472",
            "fax_number": "904-503-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESORO-OFIARA",
        "first_name": "ANALYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9211378",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9211378",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9211378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

Verify at the official NPI Registry.