Individual provider Active NPI

Ashlan Elizabeth Whitaker, DNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1225918188
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11042003 Issued in FL
Practice address
14011 Beach Blvd Ste 120
Jacksonville, FL 32250-1695
Phone
(904) 223-6400
Fax
(833) 578-1820
NPI assigned
Sep 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 APRN11042003 FL Primary

Addresses

Primary practice location

14011 Beach Blvd Ste 120
Jacksonville, FL 32250-1695

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

14810 Old Saint Augustine Rd Ste 208
Jacksonville, FL 32258-2558
Phone (904) 260-4111

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
I20251126002972 FL Practitioner - Nurse Practitioner 0941792899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

14011 Beach Blvd
Suite 120
Jacksonville, FL 32250-1695
Phone (904) 223-6400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11042003FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA Family Current Accepting new patients
Physicians Group Services PA CurrentSince Oct 1, 2025 Accepting new patients
Physicians Group Services PA CurrentSince Oct 1, 2025 Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

14011 Beach Blvd
Ste 120
Jacksonville Beach, FL 32250
Phone (904) 223-6400

Organizations & group practices 4

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": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1225918188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 BEACH BLVD STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501695",
            "telephone_number": "904-223-6400",
            "fax_number": "833-578-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14810 Old Saint Augustine Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582558",
            "country_code": "US",
            "telephone_number": "904-260-4111",
            "fax_number": "833-578-1821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ASHLAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.