Individual provider Active NPI

Nena Sheryl Morden, ARNP

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1336658103
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9313384 Issued in FL
Practice address
100 Whetstone PL Ste 205
St Augustine, FL 32086-5775
Phone
(904) 343-5281
Fax
(904) 592-5369
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP9313384 FL Primary

Addresses

Primary practice location

100 Whetstone PL Ste 205
St Augustine, FL 32086-5775

Mailing address

100 Whetstone PL Ste 205
St Augustine, FL 32086-5775
Phone (904) 343-5281

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
I20171130000376 FL Practitioner - Nurse Practitioner 5092072025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Diseases Associates of North Florida, P.a.Group PAC ID 4880638873, 4 clinicians

Practice addresses (Care Compare)

400 Health Park Blvd
Saint Augustine, FL 32086-5784
Phone (904) 819-9925

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9313384FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates of North Florida, P.a. CurrentSince Oct 1, 2017 Accepting new patients
Anastasia Pediatrics Past Accepting new patients

Locations

101 Whitehall Dr
Ste 103
St Augustine, FL 32086

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

100 Whetstone Pl
Ste 205
St Augustine, FL 32086
Phone (904) 429-9892

101 Whitehall Dr
Ste 104
St Augustine, FL 32086
Phone (904) 829-6591

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDDGAA
  • Direct secure messaging: nmorden744221@direct.shands.ufl.edu

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.

Hospital & facility affiliations 2

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336658103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL STE 205",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865775",
            "telephone_number": "904-343-5281",
            "fax_number": "904-592-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL STE 205",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865775",
            "telephone_number": "904-343-5281",
            "fax_number": "904-592-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDEN",
        "first_name": "NENA",
        "middle_name": "SHERYL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9313384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.