Individual provider Active NPI

Mina Ramzy, PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Jacksonville Beach, FL
National Provider Identifier
1386528651
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
979730 Issued in NY
Practice address
4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419
Phone
(904) 686-8055
Fax
(904) 686-8105
NPI assigned
Aug 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11045022 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X 979730 NY Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419

Mailing address

4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419
Phone (904) 686-8055

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
I20260415001661 FL Practitioner - Nurse Practitioner 6204302532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 Metro Pkwy
Fort Myers, FL 33916-7952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
979730NYMDPsychiatric/Mental Health Registered Nurse
APRN11045022FLMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1386528651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501419",
            "telephone_number": "904-686-8055",
            "fax_number": "904-686-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501419",
            "telephone_number": "904-686-8055",
            "fax_number": "904-686-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMZY",
        "first_name": "MINA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11045022",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "979730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.