Individual provider Active NPI

Erika Jean Nyquist, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1316624778
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11027207 Issued in FL
Practice address
1400 Old Dixie Hwy
St Augustine, FL 32084-4190
Phone
(904) 829-2273
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11027207 FL Primary

Addresses

Primary practice location

1400 Old Dixie Hwy
St Augustine, FL 32084-4190

Mailing address

9414 Maidstone Mill Dr E
Jacksonville, FL 32244-8453
Phone (904) 524-7670

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
I20250423003852 FL Practitioner - Nurse Practitioner 5395261218 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027207FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Services, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Epic Community Services, Inc CurrentSince Apr 9, 2025 Accepting new patients

Locations

2323 N State St
Unit 58
Bunnell, FL 32110
Phone 90482922734030

2323 N State St
Unit 57
Bunnell, FL 32110

555 Stockton St
Jacksonville, FL 32204
Phone (904) 387-4661

2133 Broadway Ave
Jacksonville, FL 32209
Phone (904) 361-5010

3574 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 217-7161

175 Hampton Point Dr
Saint Augustine, FL 32092

3574 US Highway 1 S
Ste 111
Saint Augustine, FL 32086
Phone (904) 797-3115

3910 Lewis Speedway
Ste 1106
St Augustine, FL 32084
Phone 90482922734030

1400 Old Dixie Hwy
St Augustine, FL 32084
Phone (412) 853-4014

3910 Lewis Speedway
Ste 1103
St Augustine Beach, FL 32084
Phone (386) 837-9686

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1316624778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 MAIDSTONE MILL DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448453",
            "telephone_number": "904-524-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844190",
            "telephone_number": "904-829-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYQUIST",
        "first_name": "ERIKA",
        "middle_name": "JEAN",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11027207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.