Individual provider Active NPI

Kristina Marie Hanlon, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1386260354
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007669 Issued in FL
Practice address
4319 Salisbury Rd
Jacksonville, FL 32216-6198
Phone
(904) 570-9404
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 APRN11007669 FL Primary

Addresses

Primary practice location

4319 Salisbury Rd
Jacksonville, FL 32216-6198

Mailing address

4319 Salisbury Rd
Jacksonville, FL 32216-6198
Phone (904) 570-9404

Other practice location 1

119 Old Field Ln
St Augustine, FL 32092-1928
Phone (207) 751-2435

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
I20210329000992 FL Practitioner - Nurse Practitioner 5092122630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

Merit-based Incentive Payment System (MIPS)

Final score
79.1 of 100Reported as group
Quality
35.98
Promoting interoperability
100
Improvement activities
40
Cost
61.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Infectious Disease Consultants LLC CurrentSince Jan 1, 2023 Accepting new patients
Cardiac Vision LLC CurrentSince Oct 25, 2023 Accepting new patients
Georgia Infectious Disease Consultants Past Accepting new patients

Locations

2122 University Blvd S
Jacksonville, FL 32216
Phone (904) 398-5614

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1386260354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166198",
            "telephone_number": "904-570-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166198",
            "telephone_number": "904-570-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Old Field Ln",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320921928",
            "country_code": "US",
            "telephone_number": "207-751-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLON",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.