Individual provider Active NPI

Michelle Espanol Garcia, APRN

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1437622107
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11000573 Issued in FL
Practice address
9310 Old Kings Rd S Ste 1303
Jacksonville, FL 32257-8100
Phone
(904) 900-3472
Fax
(904) 503-2373
NPI assigned
Jan 5, 2019
Last updated
Apr 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11000573 FL Primary

Addresses

Primary practice location

9310 Old Kings Rd S Ste 1303
Jacksonville, FL 32257-8100

Mailing address

9310 Old Kings Rd S Ste 1303
Jacksonville, FL 32257-8100
Phone (904) 900-3472

Other practice location 1

3057 Angora Bay Dr
Middleburg, FL 32068-4383
Phone (516) 476-1841

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
I20190822004212 FL Practitioner - Nurse Practitioner 1355679762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R K Vishen MD P aGroup PAC ID 1052409703, 6 clinicians

Practice addresses (Care Compare)

165 Wells Rd
Suite 404
Orange Park, FL 32073-3037
Phone (904) 267-3111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Medicine LLC CurrentSince Jul 15, 2019 Accepting new patients
R K Vishen MD P a CurrentSince Feb 28, 2025 Accepting new patients

Locations

9310 Old Kings Rd S
Ste 1303
Jacksonville, FL 32257
Phone (904) 900-3472

9957 Moorings Dr
Ste 204
Jacksonville, FL 32257
Phone (702) 906-1053

165 Wells Rd
Ste 404
Orange Park, FL 32073
Phone (904) 264-3111

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10036363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1437622107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 1303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578100",
            "telephone_number": "904-900-3472",
            "fax_number": "904-503-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 1303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578100",
            "telephone_number": "904-900-3472",
            "fax_number": "904-503-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3057 Angora Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320684383",
            "country_code": "US",
            "telephone_number": "516-476-1841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHELLE",
        "middle_name": "ESPANOL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11000573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.