Active NPI
Jennifer Shay Mucha, AGAC-NP
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11021560
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Improvement activities
- 40
- Cost
- 74.03
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11021560 | FL | MD | Acute Care Nurse Practitioner |
| APRN11021560 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Brain & Spine PLLC | Current | Accepting new patients | |
| Baptist MD Anderson Cancer Physicians Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
7807 Baymeadows Rd E
Ste 208
Jacksonville, FL 32256
Phone (904) 330-0302
Interoperability endpoints
- 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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1336651009
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
dba Baptist Oncology Services Inc
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1609286897
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.