Individual provider Active NPI

Lewis Leonard Monroe, FNP-C, PMHNP-BC

  • Primary Care Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1336584812
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11014846 Issued in FL
Practice address
732 Balmoral LN Ste 10-240
Orange Park, FL 32073-4287
Phone
(904) 456-0699
NPI assigned
May 9, 2013
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R182735 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11014846 FL
Primary Care Nurse Practitioner 363LP2300X APRN11014846 FL Primary
Registered Nurse 163W00000X RN.375949 OH

Addresses

Primary practice location

732 Balmoral LN Ste 10-240
Orange Park, FL 32073-4287

Mailing address

410 Blanding Blvd Ste 10-240
Orange Park, FL 32073-5051
Phone (904) 456-0699

Other practice location 1

3001 Green Bay Rd
North Chicago, IL 60064-3048
Phone (847) 688-1900

Other practice location 2

19270 Sonoma Hwy
sonoma, CA 95476
Phone (707) 939-6070

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
I20240531001259 FL Practitioner - Nurse Practitioner 4789969171 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.375949OHMDRegistered Nurse
R182735MDMDFamily Nurse Practitioner
APRN11014846FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 19, 2024 Accepting new patients
Adelante Healthcare Services LLC Psychiatric/Mental Health CurrentSince Jan 6, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

410 Blanding Blvd
Ste 10240
Orange Park, FL 32073
Phone (410) 212-7649

Interoperability endpoints

  • Direct secure messaging: lewis.monroe.1@14940.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1336584812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BLANDING BLVD STE 10-240",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735051",
            "telephone_number": "904-456-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 BALMORAL LN STE 10-240",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734287",
            "telephone_number": "904-456-0699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643048",
            "country_code": "US",
            "telephone_number": "847-688-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19270 Sonoma Hwy",
            "address_purpose": "LOCATION",
            "city": "sonoma",
            "state": "CA",
            "postal_code": "95476",
            "country_code": "US",
            "telephone_number": "707-939-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "LEWIS",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182735",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11014846",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11014846",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.375949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.