Active NPI
Natalie Mikulas, DNP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11015609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11015609 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Foot Care and Wellness Clinic, LLC | Current | 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
- https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
- 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.
-
- Medical Specialty Clinic/Center
- Jacksonville, FL
- NPI 1013375195
-
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
- NPI 1578938684
-
- Podiatrist
- Middleburg, FL
- NPI 1033559257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.