Individual provider Active NPI

Lorrie M Kenseth, NP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1306030747
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9341144 Issued in FL
Practice address
2550 Park St
Jacksonville, FL 32204-4518
Phone
(904) 223-3321
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9341144 FL Primary

Addresses

Primary practice location

2550 Park St
Jacksonville, FL 32204-4518

Mailing address

5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321

Other practice location 1

1699 S 14th St Ste 16
Fernandina Beach, FL 32034-1965
Phone (904) 223-3321

Other names 1

  • Lorrie M Coffman 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
I20130507000726 FL Practitioner - Nurse Practitioner 6305939208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Spine Center PAGroup PAC ID 6901890300, 38 clinicians

Practice addresses (Care Compare)

5191 1St Coast Tech Pkwy
FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321

Hospital & facility affiliations

  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
70.19
Promoting interoperability
98
Improvement activities
40
Cost
68.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9341144FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Spine Center PA CurrentSince Feb 27, 2023 Accepting new patients
Jacksonville Spine Center PA CurrentSince Feb 27, 2023 Accepting new patients
Baptist MD Anderson Cancer Physicians Inc Nurse Practitioner PastSince Apr 16, 2023 Accepting new patients
Georgia Spine & Pain Centers Past Accepting new patients

Locations

1699 S 14th St
Ste 16
Fernandina Beach, FL 32034
Phone (904) 491-7700

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

2550 Park St
Ste B
Jacksonville, FL 32204
Phone (904) 280-6701

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

1100 Plantation Island Dr S
Ste 220
Saint Augustine, FL 32080
Phone (904) 436-6420

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lorrie.kenseth@jspc.eclinicaldirectplus.com
  • Direct secure messaging: lkenseth28569@baptisthealthsystemjacksonville.direct-ci.com

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.

Hospital & facility affiliations 3

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1306030747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY FL 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044518",
            "telephone_number": "904-223-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1699 S 14th St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320341965",
            "country_code": "US",
            "telephone_number": "904-223-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENSETH",
        "first_name": "LORRIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9341144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRIE",
            "last_name": "COFFMAN",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.