Individual provider Active NPI

Autumn M Hancock, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1508398181
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9252329 Issued in FL
Practice address
4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Phone
(904) 268-5200
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9252329 FL
Family Nurse Practitioner 363LF0000X 9252329 FL Primary

Addresses

Primary practice location

4266 Sunbeam Rd
Jacksonville, FL 32257-2425

Mailing address

4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Phone (904) 268-5200

Other practice location 1

2161 Kingsley Ave Ste 100
Orange Park, FL 32073-5116
Phone (904) 276-2303

Other practice location 2

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Other practice location 3

7751 Baymeadows Rd E Ste 101
Jacksonville, FL 32256-5836
Phone (904) 645-5045

Other practice location 4

2 Shircliff Way Ste 400
Jacksonville, FL 32204-4794
Phone (904) 308-4000

Other practice location 5

700 3rd St Ste 302
Neptune Beach, FL 32266-5082
Phone (904) 997-3800

Other names 1

  • Autumn Phillips Other 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
I20170619000092 FL Practitioner - Nurse Practitioner 0042588923 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9252329FLMDNurse Practitioner
9252329FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Dec 1, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Nov 1, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Nov 1, 2018 Accepting new patients
Rmed LLC CurrentSince Dec 1, 2024 Accepting new patients
Mayo Clinic Jacksonville CurrentSince Apr 7, 2025 Accepting new patients
Mayo Clinic Jacksonville CurrentSince Apr 7, 2025 Accepting new patients
Community Hospice of Northeast Florida Inc CurrentSince Oct 20, 2025 Accepting new patients

Locations

5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

425 N Lee St
Ste 204
Jacksonville, FL 32204
Phone (904) 247-1200

4266 Sunbeam Rd
Jacksonville, FL 32257
Phone (904) 268-5200

7751 Baymeadows Rd E
Ste 101
Jacksonville, FL 32256
Phone (904) 645-5045

2 Shircliff Way
Ste 400
Jacksonville, FL 32204
Phone (904) 308-4000

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Organizations & group practices 7

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1508398181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 SUNBEAM RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572425",
            "telephone_number": "904-268-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 SUNBEAM RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572425",
            "telephone_number": "904-268-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2161 Kingsley Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735116",
            "country_code": "US",
            "telephone_number": "904-276-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7751 Baymeadows Rd E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565836",
            "country_code": "US",
            "telephone_number": "904-645-5045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Shircliff Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044794",
            "country_code": "US",
            "telephone_number": "904-308-4000",
            "fax_number": "904-308-6994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 3rd St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Neptune Beach",
            "state": "FL",
            "postal_code": "322665082",
            "country_code": "US",
            "telephone_number": "904-997-3800",
            "fax_number": "904-997-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "AUTUMN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9252329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9252329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "PHILLIPS",
            "credential": "AUTUMN MCBETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.