Active NPI
Julia Anne Shank, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1386058725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1957072
- 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
- Last updated
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP1957072 | FL | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013290400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 S US Hwy 17
East Palatka, FL 32131-4087
Phone (386) 232-9203
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.27 of 100
- Quality
- 85.06
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
- https://fhir4.healow.com/fhir/r4/CGGIAD/Endpoint/CGGIAD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- East Palatka, FL
- NPI 1346791498
-
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1629439260
-
- Cardiovascular Disease Physician
- St Augustine, FL
- NPI 1497361943
-
- Family Medicine Physician
- Hilliard, FL
- NPI 1679768667
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba HCA Florida Putnam Hospital
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1386058725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551308",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322551308",
"telephone_number": "904-493-3333",
"fax_number": "904-493-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 A C SKINNER PKWY",
"address_2": "SUITE 160",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566954",
"telephone_number": "904-493-3333",
"fax_number": "904-493-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANK",
"first_name": "JULIA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1957072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013290400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.