Active NPI
Patricia P McArdle, ARNP
- Adult Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2626302
- Practice address
- 425 N Lee St
Suite 203
Jacksonville, FL 32204-1128 - Phone
- (904) 354-8200
- Fax
- (904) 354-1340
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2626302 | FL | Primary |
Addresses
Primary practice location
425 N Lee St
Suite 203
Jacksonville, FL 32204-1128
Mailing address
425 N Lee St
Suite 203
Jacksonville, FL 32204-1128
Phone (904) 354-8200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002167000 | Medicaid | FL | |
| CJ499Z | Other | FL | MEDICARE ID |
| P00991008 | Other | FL | RAILROAD MEDICARE |
| Y01KR | Other | FL | BCBS FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Shircliff Way
Depaul Building Suite 435
Jacksonville, FL 32204-4753
Phone (904) 308-6900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2626302 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients |
Locations
1699 S 14th St
Ste 9
Fernandina Beach, FL 32034
Phone (904) 206-5000
425 N Lee St
Ste 203
Jacksonville, FL 32204
Phone (904) 354-8200
3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900
2 Shircliff Way
Ste 435
Jacksonville, FL 32204
Phone (904) 308-6900
1750 Stockton St
Jacksonville, FL 32204
Phone (904) 308-4700
4203 Belfort Rd
Ste 108
Jacksonville, FL 32216
Phone (904) 450-6460
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
159 N 3rd St
Ste E
Macclenny, FL 32063
Phone (904) 388-2619
1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161
Interoperability endpoints
- patricia.mcardle.1@8967.direct.athenahealth.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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1457582199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N LEE ST",
"address_2": "SUITE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041128",
"telephone_number": "904-354-8200",
"fax_number": "904-354-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N LEE ST",
"address_2": "SUITE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041128",
"telephone_number": "904-354-8200",
"fax_number": "904-354-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCARDLE",
"first_name": "PATRICIA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "2626302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002167000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "CJ499Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00991008",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "Y01KR",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.