Individual provider Active NPI

Antoinette E Geissmann, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1265845002
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9273581 Issued in FL
Practice address
6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286
Phone
(904) 330-1024
Fax
(904) 330-1027
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 APRN9273581 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286

Mailing address

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286
Phone (904) 330-1024

Other names 1

  • Antoinette E Moore Former name

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
I20141105001835 FL Practitioner - Nurse Practitioner 5698997732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

Merit-based Incentive Payment System (MIPS)

Final score
79.1 of 100Reported as group
Quality
35.98
Promoting interoperability
100
Improvement activities
40
Cost
61.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9273581FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Assessments Inc CurrentSince Sep 1, 2022 Accepting new patients
Cardiac Vision LLC CurrentSince Sep 27, 2024 Accepting new patients
First Coast Infectious Disease Consultants LLC CurrentSince Aug 24, 2023 Accepting new patients
Georgia Infectious Disease Consultants Past Accepting new patients

Locations

2122 University Blvd S
Jacksonville, FL 32216
Phone (904) 398-5614

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

533 N Nova Rd
Ste 114
Ormond Beach, FL 32174
Phone (386) 227-7014

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1265845002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166286",
            "telephone_number": "904-330-1024",
            "fax_number": "904-330-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166286",
            "telephone_number": "904-330-1024",
            "fax_number": "904-330-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISSMANN",
        "first_name": "ANTOINETTE",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9273581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "MOORE",
            "middle_name": "E",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.