Individual provider Active NPI

Victoria Kozel, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1518031202
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9263608 Issued in FL
Practice address
12574 Flagler Center Blvd Ste 101
Jacksonville, FL 32258-2615
Phone
(904) 827-3704
Fax
(904) 659-8380
NPI assigned
Nov 17, 2006
Last updated
Jan 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9263608 FL Primary
Nurse Practitioner 363L00000X 334423 NY
Nurse Practitioner 363L00000X 9263608 FL

Addresses

Primary practice location

12574 Flagler Center Blvd Ste 101
Jacksonville, FL 32258-2615

Mailing address

12574 Flagler Center Blvd Ste 101
Jacksonville, FL 32258-2615
Phone (904) 827-3704

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
I20110406000333 FL Practitioner - Nurse Practitioner 8022048958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12574 Flagler Ctr Blvd
Suite 101
Jacksonville, FL 32258-2615
Phone (315) 269-0847

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334423NYMDEmergency Medicine Physician
9263608FLMDNurse Practitioner
APRN9263608FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Family Practice Associates, LLC CurrentSince Nov 24, 2015 Accepting new patients
Fitmind Therapeutics Advanced Behavioral Health CurrentSince Sep 23, 2024 Accepting new patients
First Coast Cardiovascular Institute LLC Past Accepting new patients
Bagnoli and Salah Partnership PastSince Sep 12, 2015 Accepting new patients

Locations

12574 Flagler Center Blvd
Ste 101
Jacksonville, FL 32258
Phone (315) 269-0847

1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

Interoperability endpoints

  • Direct secure messaging: fitmindtherapeutics.victoriakozel@158892.advancedmd-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA
  • Direct secure messaging: victoria.kozel@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1518031202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12574 FLAGLER CENTER BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582615",
            "telephone_number": "904-827-3704",
            "fax_number": "904-659-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12574 FLAGLER CENTER BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582615",
            "telephone_number": "904-827-3704",
            "fax_number": "904-659-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZEL",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9263608",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "334423",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9263608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.