Individual provider Active NPI

Nicole Zaffino, ARNP

  • Adult Health Nurse Practitioner
  • Middleburg, FL
National Provider Identifier
1336167253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9180089 Issued in FL
Practice address
1658 St Vincents Way Ste 240
Middleburg, FL 32068-8459
Phone
(904) 449-7288
Fax
(904) 203-2173
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9180089 FL Primary

Addresses

Primary practice location

1658 St Vincents Way Ste 240
Middleburg, FL 32068-8459

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Other practice location 1

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-2044

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
I20051015000038 FL Practitioner - Nurse Practitioner 2860418225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

836 Prudential Dr
Suite 801
Jacksonville, FL 32207-8335
Phone (904) 288-0433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9180089FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Borland Groover Clinic, PA CurrentSince Feb 13, 2015 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 1, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 1, 2018 Accepting new patients
Southern Heart Group Past Accepting new patients

Locations

1747 Baptist Clay Dr
Ste 300
Fleming Island, FL 32003
Phone (904) 214-8080

425 N Lee St
Ste 202
Jacksonville, FL 32204
Phone (904) 366-3736

836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433

425 N Lee St
Ste 101
Jacksonville, FL 32204
Phone (904) 358-9587

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

159 N 3rd St
Ste B
Macclenny, FL 32063
Phone (904) 449-7288

1658 St Vincents Way
Ste 300
Middleburg, FL 32068
Phone (904) 276-5100

1658 St Vincents Way
Ste 240
Middleburg, FL 32068
Phone (904) 449-7288

1893 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 375-8850

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336167253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENTS WAY STE 240",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688459",
            "telephone_number": "904-449-7288",
            "fax_number": "904-203-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735148",
            "country_code": "US",
            "telephone_number": "904-276-2044",
            "fax_number": "904-276-2106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAFFINO",
        "first_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9180089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.