Active NPI
Sandra Jean Schellhorn, NP
- Acute Care Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2139162
- Practice address
- 836 Prudential Dr
Suite 1601
Jacksonville, FL 32207 - Phone
- (904) 861-7804
- NPI assigned
- Apr 4, 2008
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2139162 | FL | Primary |
Addresses
Primary practice location
836 Prudential Dr
Suite 1601
Jacksonville, FL 32207
Mailing address
836 Prudential Drive
Suite 1601
Jacksonville, FL 32207
Phone (904) 861-7804
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2300 Park Ave
101B
Orange Park, FL 32073-5572
Phone (904) 264-0088
Hospital & facility affiliations
- Ascension St Vincent'S Southside
- Ascension St Vincent'S St Johns County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2139162 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Medical Center Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Medical Center Inc | Current | Accepting new patients | |
| Florida Physicians & Research Assoc | Past | Accepting new patients |
Locations
4205 Belfort Rd
Ste 2069
Jacksonville, FL 32216
Phone (904) 296-0278
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372
1658 St Vincents Way
Ste 300
Middleburg, FL 32068
Phone (904) 276-5100
1658 St Vincents Way
Ste 310
Middleburg, FL 32068
Phone (904) 308-2006
2300 Park Ave
Ste 101B
Orange Park, FL 32073
Phone (904) 249-4888
300 Saint Elizabeth Way
Ste 110
St Johns, FL 32259
Phone (904) 691-9100
Interoperability endpoints
- sandra.schellhorn.1@8967.direct.athenahealth.com
Organizations & group practices 5
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
-
- Primary Care Clinic/Center
- Jacksonville, FL
- NPI 1427005131
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1912920372
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
- St. Johns, FL
- NPI 1861078651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1497928089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DRIVE",
"address_2": "SUITE 1601",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32207",
"telephone_number": "904-861-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DR",
"address_2": "SUITE 1601",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32207",
"telephone_number": "904-861-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELLHORN",
"first_name": "SANDRA",
"middle_name": "JEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "2139162",
"primary": true
}
],
"identifiers": [],
"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 May 1, 2008; 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.