Individual provider Active NPI

Ashley Bostic

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1528885704
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035454 Issued in FL
Practice address
710 Lomax St
Jacksonville, FL 32204-4098
Phone
(904) 355-6583
NPI assigned
Sep 20, 2024
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11035454 FL Primary

Addresses

Primary practice location

710 Lomax St
Jacksonville, FL 32204-4098

Mailing address

527 Lake Sinclair St
Saint Augustine, FL 32084-1564

Other names 1

  • Ashley Hotchkiss Former 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
I20250317003090 FL Practitioner - Nurse Practitioner 3173045341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 Lomax St
Jacksonville, FL 32204-4015
Phone (904) 355-6583

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035454FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physician Specialists LLC CurrentSince Nov 25, 2024 Accepting new patients
Florida Physician Specialists LLC CurrentSince Nov 25, 2024 Accepting new patients
Florida Physician Specialists LLC Current Accepting new patients
Florida Physician Specialists LLC Past Accepting new patients

Locations

1860 Town Hall Cir
Fleming Island, FL 32003
Phone (904) 520-6800

14540 Old St Augustine Rd
Ste 2401
Jacksonville, FL 32258
Phone (904) 880-4054

3627 University Blvd S
Ste 605
Jacksonville, FL 32216
Phone (904) 658-0176

6816 Southpoint Pkwy
Ste 102
Jacksonville, FL 32216
Phone (904) 328-6749

710 Lomax St
Jacksonville, FL 32204
Phone (904) 306-6781

710 Lomax St
Ste L
Jacksonville, FL 32204

836 Prudential Dr
Ste 1502
Jacksonville, FL 32207
Phone (904) 396-5540

8774 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 642-6100

1577 Roberts Dr
Ste 326
Jacksonville Beach, FL 32250
Phone (904) 270-2706

1658 St Vincents Way
Ste 220
Middleburg, FL 32068

1715 Village Way
Orange Park, FL 32073
Phone (904) 264-8418

300 Saint Elizabeth Way
Ste 145
St Johns, FL 32259

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.

Hospital & facility affiliations 5

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1528885704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 LAKE SINCLAIR ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320841564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044098",
            "telephone_number": "904-355-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HOTCHKISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.