Individual provider Active NPI

Edisa Karajic, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1235909714
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030449 Issued in FL
Practice address
8876 A C Skinner Pkwy Unit 4505
Jacksonville, FL 32256-0890
Phone
(314) 596-6346
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 11030449 FL Primary

Addresses

Primary practice location

8876 A C Skinner Pkwy Unit 4505
Jacksonville, FL 32256-0890

Mailing address

8876 A C Skinner Pkwy Unit 4505
Jacksonville, FL 32256-0890
Phone (314) 596-6346

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
I20240530003936 FL Practitioner - Nurse Practitioner 3870935273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
At Home Palliative Care, LLCGroup PAC ID 3274900410, 6 clinicians
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

263 River Hills Dr
Suite 3
Jacksonville, FL 32216-8980
Phone (904) 222-2273

4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312

Hospital & facility affiliations

  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030449FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pcma Palliative Division LLC CurrentSince Feb 1, 2026 Accepting new patients
Ahpc Health Incorporated CurrentSince Nov 17, 2025 Accepting new patients
At Home Palliative Care, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

263 River Hills Dr
Ste 3
Jacksonville, FL 32216
Phone (904) 222-2272

463688 State Road 200
Ste 1
Yulee, FL 32097
Phone (904) 548-8283

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

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.

Hospital & facility affiliations 1

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": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1235909714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 A C SKINNER PKWY UNIT 4505",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560890",
            "telephone_number": "314-596-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8876 A C SKINNER PKWY UNIT 4505",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560890",
            "telephone_number": "314-596-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAJIC",
        "first_name": "EDISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.