Peter Christopher McDermott, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9320434 Issued in FL

Practice address

3874 San Jose Park Dr Ste 5
Jacksonville, FL 32217-4660

Phone

(904) 799-2531

Fax

(904) 659-8558

NPI assigned

Jan 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Chris McDermott Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Intercoastal Health

  • Health Service Clinic/Center
  • Jacksonville, FL
  • NPI 1518775873
  NPD Authorized official

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1396282836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY",
            "address_2": "327",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177",
            "telephone_number": "904-226-1496",
            "fax_number": "904-458-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3874 SAN JOSE PARK DR STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174660",
            "telephone_number": "904-799-2531",
            "fax_number": "904-659-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "PETER",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9320434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "MCDERMOTT",
            "prefix": "MR.",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tara Brinson McDaniel, CCMA
• Victoria Felice McDavid, APRN11041611
• Alicia McDermott
• Logan Budd McDermott, MD
• Madison Carter McDermott
• Walter Francis McDermott, PH.D.
• Ryan McDevitt-Galles, CRNA
• Tegan Ann McDill, RD
• Dennis Joseph McDonagh, MD
• Lisa Marie McDonald Fortune, P.T.

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.