Individual provider Active NPI

Gaston Metelus, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1235638602
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9361373 Issued in FL
Practice address
1893 Kingsley Ave Ste C
Orange Park, FL 32073-4421
Phone
(904) 444-5046
NPI assigned
Feb 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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 9361373 FL Primary

Addresses

Primary practice location

1893 Kingsley Ave Ste C
Orange Park, FL 32073-4421

Mailing address

1893 Kingsley Ave Ste C
Orange Park, FL 32073-4421
Phone (904) 444-5046

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
I20190830002238 FL Practitioner - Nurse Practitioner 3274862172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harpreet Singh MD PAGroup PAC ID 9931344603, 2 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 273-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9361373FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harpreet Singh MD PA CurrentSince Mar 1, 2020 Accepting new patients
Gaines C Martin MD PHD PA CurrentSince Mar 1, 2020 Accepting new patients
GM Healthcare LLC Current Accepting new patients

Locations

1409 Kingsley Ave
Ste 9G
Orange Park, FL 32073
Phone (904) 637-0007

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1235638602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 KINGSLEY AVE STE C",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734421",
            "telephone_number": "904-444-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 KINGSLEY AVE STE C",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734421",
            "telephone_number": "904-444-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELUS",
        "first_name": "GASTON",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9361373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.