Individual provider Active NPI

Olivia Yael Levy, DNP, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1386356509
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11022548 Issued in FL
Practice address
3627 University Blvd S Ste 700
Jacksonville, FL 32216-7403
Phone
(904) 399-5678
Fax
(904) 399-8488
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11022548 FL Primary
Acute Care Nurse Practitioner 363LA2100X 11022548 FL

Addresses

Primary practice location

3627 University Blvd S Ste 700
Jacksonville, FL 32216-7403

Mailing address

12745 Josslyn LN
Jacksonville, FL 32246-2292
Phone (561) 670-6755

Other practice location 1

12276 San Jose Blvd Ste 401
Jacksonville, FL 32223-8660
Phone (904) 399-5678

Other names 1

  • Olivia Rossnan Former name

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
I20230209000972 FL Practitioner - Nurse Practitioner 0941672414 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
Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

3627 University Blvd S
Suite 700
Jacksonville, FL 32216-7403
Phone (904) 399-5678

Merit-based Incentive Payment System (MIPS)

Final score
85.52 of 100Reported as group
Quality
78.57
Promoting interoperability
99
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022548FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Family Practice Associates, LLC CurrentSince Oct 16, 2023 Accepting new patients
Memorial Family Practice Associates LLC Past Accepting new patients

Locations

3627 University Blvd S
Ste 700
Jacksonville, FL 32216

1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200

12276 San Jose Blvd
Ste 401
Jacksonville, FL 32223
Phone (904) 268-5561

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: olivia.rossnan@hca5.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1386356509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 JOSSLYN LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462292",
            "telephone_number": "561-670-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 700",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167403",
            "telephone_number": "904-399-5678",
            "fax_number": "904-399-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12276 San Jose Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322238660",
            "country_code": "US",
            "telephone_number": "904-399-5678",
            "fax_number": "904-399-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "OLIVIA",
        "middle_name": "YAEL",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022548",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11022548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "ROSSNAN",
            "credential": "DNP, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.