Individual provider Active NPI

Natalie Mikulas, DNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1306508080
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015609 Issued in FL
Practice address
14675 Bartram Creek Blvd
Jacksonville, FL 32259-7062
Phone
(321) 205-3712
NPI assigned
Oct 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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 11015609 FL Primary

Addresses

Primary practice location

14675 Bartram Creek Blvd
Jacksonville, FL 32259-7062

Mailing address

14675 Bartram Creek Blvd
Jacksonville, FL 32259-7062

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
I20240703000974 FL Practitioner - Nurse Practitioner 8921542754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8021 Philips Hwy
Suite 1
Jacksonville, FL 32256-7460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015609FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Foot Care and Wellness Clinic, LLC CurrentSince Apr 19, 2024 Accepting new patients
Clay County Podiatry Associates PA Past Accepting new patients

Locations

1215 Dunn Ave
Ste 3J
Jacksonville, FL 32218

1215 Dunn Ave
Ste 3
Jacksonville, FL 32218
Phone (904) 323-0954

8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954

6500 Fort Caroline Rd
Ste A
Jacksonville, FL 32277
Phone (904) 323-0954

14444 Beach Blvd
Ste 28
Jacksonville Beach, FL 32250
Phone (904) 323-0954

905 Beach Blvd
#B
Jacksonville Beach, FL 32250
Phone (904) 246-4831

630 Jacksonville Dr
Jax Bch, FL 32250
Phone (904) 249-4645

430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJGBD

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": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1306508080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14675 BARTRAM CREEK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14675 BARTRAM CREEK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322597062",
            "telephone_number": "321-205-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULAS",
        "first_name": "NATALIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.