Individual provider Active NPI

Allison Krebs, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1306368469
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9291867 Issued in FL
Practice address
8833 Perimeter Park Blvd Ste 104
Jacksonville, FL 32216-1111
Phone
(904) 651-1123
Fax
(904) 643-4404
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9291867 FL
Nurse Practitioner 363L00000X ARNP9291867 FL Primary

Addresses

Primary practice location

8833 Perimeter Park Blvd Ste 104
Jacksonville, FL 32216-1111

Mailing address

8833 Perimeter Park Blvd Ste 104
Jacksonville, FL 32216-1111
Phone (904) 651-1123

Other practice location 1

1351 13th Ave S Ste 105
Jacksonville Beach, FL 32250-3234
Phone (904) 694-0992

Other identifiers 4

IdentifierTypeStateIssuer
104599200MedicaidFL
ARNP9291867OtherFLFLORIDA DEPARTMENT OF HEALTH
C1WUEOtherFLBCBS
LL494OtherFLMEDICARE

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
I20190808000825 FL Practitioner - Nurse Practitioner 6204163637 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9291867FLMDNurse Practitioner
ARNP9291867FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jul 29, 2019 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 29, 2019 Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200

1351 13th Ave S
Jacksonville Beach, FL 32250
Phone (904) 249-9995

1351 13th Ave S
Ste 105
Jacksonville Beach, FL 32250
Phone (904) 694-0992

1351 13th Ave S
Ste 110
Jax Bch, FL 32250
Phone (904) 249-9995

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Organizations & group practices 2

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1306368469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161111",
            "telephone_number": "904-651-1123",
            "fax_number": "904-643-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161111",
            "telephone_number": "904-651-1123",
            "fax_number": "904-643-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 13th Ave S Ste 105",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503234",
            "country_code": "US",
            "telephone_number": "904-694-0992",
            "fax_number": "904-694-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREBS",
        "first_name": "ALLISON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9291867",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9291867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104599200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ARNP9291867",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C1WUE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LL494",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.