Individual provider Active NPI

Conekia Marshea Burgess, MSN RN APRN FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1467930446
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007392 Issued in FL
Practice address
3901 University Blvd S Ste 103
Jacksonville, FL 32216-4374
Phone
(904) 345-7373
Fax
(904) 345-7372
NPI assigned
Aug 1, 2018
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007392 FL Primary

Addresses

Primary practice location

3901 University Blvd S Ste 103
Jacksonville, FL 32216-4374

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600

Other names 1

  • Conekia Marshea Kinsey 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
I20250204003550 FL Practitioner - Nurse Practitioner 4880124981 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11007392FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince Jul 28, 2025 Accepting new patients
WT Health of Florida LLC CurrentSince Jul 28, 2025 Accepting new patients
Georgia Spine & Pain Centers Past Accepting new patients

Locations

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

Interoperability endpoints

  • Direct secure messaging: ckinsey1260498@nychhc.direct-ci.com

Organizations & group practices 3

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1467930446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-345-7600",
            "fax_number": "904-345-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164374",
            "telephone_number": "904-345-7373",
            "fax_number": "904-345-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "CONEKIA",
        "middle_name": "MARSHEA",
        "credential": "MSN RN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONEKIA",
            "last_name": "KINSEY",
            "middle_name": "MARSHEA",
            "credential": "MSN RN FNP-C CRRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.