Individual provider Active NPI

Katherine Marie Englund, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1497451454
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
11024234 Issued in FL
Practice address
11945 San Jose Blvd Ste 400
Jacksonville, FL 32223-1627
Phone
(904) 262-5333
Fax
(904) 262-5337
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 11024234 FL Primary

Addresses

Primary practice location

11945 San Jose Blvd Ste 400
Jacksonville, FL 32223-1627

Mailing address

11945 San Jose Blvd Ste 400
Jacksonville, FL 32223-1627
Phone (904) 262-5333

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
I20230221002736 FL Practitioner - Nurse Practitioner 9335511328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

11945 San Jose Blvd
Suite 400
Jacksonville, FL 32223-1627
Phone (904) 262-5333

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024234FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Jan 25, 2023 Accepting new patients
Womencare PA Past Accepting new patients

Locations

13241 Bartram Park Blvd
Unit 2201
Jacksonville, FL 32258
Phone (904) 262-5333

11945 San Jose Blvd
Ste 400
Jacksonville, FL 32223
Phone (904) 262-5333

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: katherine.englund.1@2183.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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1497451454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-262-5333",
            "fax_number": "904-262-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-262-5333",
            "fax_number": "904-262-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLUND",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11024234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.