Elizabeth G. Bagan, ARNP, NP-C, ENP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9319286 Issued in FL

Practice address

8825 Perimeter Park Blvd Ste 102
Jacksonville, FL 32216-1127

Phone

(904) 454-4937

Fax

(904) 293-1325

NPI assigned

Apr 3, 2017

Last updated

Aug 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emergency Medical Specialists of Jacksonville

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1295738367
  Medicare reassignment NPD
• University of Florida Jacksonville Physicians Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1326208695
  Medicare reassignment NPD
• VK Medical Group LLC

  • Specialist
  • Orange Park, FL
  • NPI 1629473822
  Medicare reassignment NPD
• Fulton Gibbs Wellness, LLC

  • Clinic/Center
  • Jacksonville, FL
  • NPI 1780232207
  NPD Authorized official
• University of Florida Jacksonville Physicians, Inc.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1235398983
  NPD
• University of Florida Jacksonville Physicians, Inc.

  dba UF Health Imaging Center-Baymeadows

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD
• VK Medical Group LLC

  dba Back & Neck Institute

  • Durable Medical Equipment & Medical Supplies
  • Orange Park, FL
  • NPI 1023529096
  NPD
• Maxvax LLC

  dba Health Heroes of Florida

  • Pediatrics Physician
  • Ocala, FL
  • NPI 1508488263
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1225560691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14675 STARRATT CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322264468",
            "telephone_number": "904-613-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161127",
            "telephone_number": "904-454-4937",
            "fax_number": "904-293-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGAN",
        "first_name": "ELIZABETH",
        "middle_name": "G.",
        "credential": "ARNP, NP-C, ENP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9319286",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN219604",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9319286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Baehman
• Sandra Josefina Baez Nunez, APRN
• Amado Alejandro Baez, MD, MPH. PHD
• Yesenia Baez
• Remzi Bag
• Sanjay Bagaria, MD
• Saaniya Aasif Bagdadi, DO
• Douglas Stewart Bagg III
• Jason J Baggett, DO
• Thomas Howard Baggett, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.