Individual provider Active NPI

Bruntina Marcelus, NP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1386326601
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025899 Issued in FL
Practice address
9550 Regency Square Blvd Ste 300
Jacksonville, FL 32225-8165
Phone
(904) 744-7300
Fax
(904) 722-4271
NPI assigned
Aug 4, 2023
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 APRN11025899 FL Primary

Addresses

Primary practice location

9550 Regency Square Blvd Ste 300
Jacksonville, FL 32225-8165

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (833) 702-8383

Other practice location 1

6484 Fort Caroline Rd
Jacksonville, FL 32277-2042
Phone (904) 744-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240305003983 KY Practitioner - Nurse Practitioner 6204271893 Reassigns benefits to 2 organizations
I20250306000171 FL Practitioner - Nurse Practitioner 6204271893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Partners of Northeast Florida LLCGroup PAC ID 7214832245, 15 clinicians

Practice addresses (Care Compare)

6484 Fort Caroline Rd
Jacksonville, FL 32277-2042
Phone (904) 744-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11025899FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Mar 11, 2024 Accepting new patients
Better Health & Welness Clinic LLC CurrentSince May 14, 2024 Accepting new patients
Family Care Partners of Northeast Florida LLC CurrentSince Mar 3, 2025 Accepting new patients
Family Care Partners of Northeast Florida LLC Past Accepting new patients
Better Health & Wellness Clinic LLC PastSince Nov 3, 2024 Accepting new patients

Locations

4565 US Highway 17
Ste 106
Fleming Isle, FL 32003
Phone (904) 269-4559

1215 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-1998

6484 Fort Caroline Rd
Jacksonville, FL 32277
Phone (904) 744-7300

9550 Regency Square Blvd
Ste 300
Jacksonville, FL 32225
Phone (904) 744-7300

14011 Beach Blvd
Ste 210220
Jacksonville Beach, FL 32250
Phone (904) 367-2277

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

9080 Taylorsville Rd
Louisville, KY 40299
Phone (502) 491-8805

9131 Fern Creek Rd
Louisville, KY 40291
Phone (502) 239-3228

12501 Shelbyville Rd
Middletown, KY 40243
Phone (502) 244-7960

Interoperability endpoints

  • Direct secure messaging: bruntina.marcelus.1@27472.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27472/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1386326601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "833-702-8383",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 REGENCY SQUARE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258165",
            "telephone_number": "904-744-7300",
            "fax_number": "904-722-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6484 Fort Caroline Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322772042",
            "country_code": "US",
            "telephone_number": "904-744-7300",
            "fax_number": "904-722-4271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELUS",
        "first_name": "BRUNTINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.