Individual provider Active NPI

Jennifer Shay Mucha, AGAC-NP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1518679745
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11021560 Issued in FL
Practice address
5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609
Phone
(904) 223-3321
Fax
(904) 223-2169
NPI assigned
Dec 19, 2022
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11021560 FL Primary
Acute Care Nurse Practitioner 363LA2100X 11021560 FL
Adult Health Nurse Practitioner 363LA2200X APRN11021560 FL

Addresses

Primary practice location

5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609

Mailing address

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0076

Other practice location 1

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 265-0076

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0076

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
I20230213001542 FL Practitioner - Nurse Practitioner 8628440021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Jacksonville Brain and Spine PLLCGroup PAC ID 1456611359, 3 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

120 Health Park Blvd
Suite 1
Saint Augustine, FL 32086-5798
Phone (888) 481-2135

145 City PL
Suite 201
Palm Coast, FL 32164-2480
Phone (888) 481-2135

351 Town Plaza Ave
Ponte Vedra, FL 32081-5179

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 823-1447

7807 Baymeadows Rd E
Suite 208
Jacksonville, FL 32256-9666
Phone (904) 446-9991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
73.65
Promoting interoperability
100
Improvement activities
40
Cost
74.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021560FLMDAcute Care Nurse Practitioner
APRN11021560FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Brain & Spine PLLC CurrentSince Sep 1, 2025 Accepting new patients
Baptist MD Anderson Cancer Physicians Inc Nurse Practitioner PastSince Apr 16, 2023 Accepting new patients

Locations

7807 Baymeadows Rd E
Ste 208
Jacksonville, FL 32256
Phone (904) 330-0302

Interoperability endpoints

  • Direct secure messaging: jennifermucha@jbsp.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1518679745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY FL 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-265-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCHA",
        "first_name": "JENNIFER",
        "middle_name": "SHAY",
        "name_prefix": "Ms.",
        "credential": "AGAC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11021560",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11021560",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11021560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.