Julia Anne Shank, ARNP
Individual provider Active NPI Family Nurse Practitioner · Jacksonville, FL
NPI 1386058725 · NPPES record last updated Oct 5, 2015
Key facts
- NPI
- 1386058725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP1957072 (FL)
- Practice address
- 7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6954 - Phone
- (904) 493-3333
- Fax
- (904) 493-2222
- NPI assigned
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ansaarie Cardiac and Endovascular Center of Excellence
Practice addresses (Care Compare)
215 S US Hwy 17
East Palatka, FL 32131-4087
Phone (386) 232-9203
Hospital & facility affiliations
- HCA Florida Putnam Hospital
- Flagler Hospital
- AdventHealth Palm Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.27 of 100
- Quality
- 85.06
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150128000713 | FL | Practitioner - Nurse Practitioner | 8729302443 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ansaarie Cardiac & Endovascular Center of Excellence | Current |
Accepting new patients | |
| West Jax Geriatrics, LLC | Current |
Accepting new patients | |
| Advanced Endovascular Institute | Past |
Accepting new patients | |
| Dr. Michael V. Sharpe | Past | Accepting new patients |
Locations
215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203
3756 W 3rd St
Hilliard, FL 32046
Phone (570) 352-3063
1301 Plantation Island Dr S
Ste 401A
Saint Augustine, FL 32080
Phone (386) 232-9203
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CGGIAD/Endpoint/CGGIAD
- https://fhir4.healow.com/fhir/r4/CGGIAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP1957072 | FL | Yes |
Addresses
Primary practice location
7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6954
Mailing address
PO Box 551308
Jacksonville, FL 32255-1308
Phone (904) 493-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013290400 | Medicaid | FL |
Other providers in Jacksonville, FL
- Shands Jacksonville Medical Center Inc
- Shands Jacksonville Medical Center Inc
- Blair Evonne Shane
- Cameo C Shane
- Katie Kris Lyn Shaneyfelt
- Rama Shankar
- Jon Erik Shanklin
- Tasha Mouton Shanklin
- John M Shanko
- Erica Shanks
All providers in Jacksonville, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.