Maricar Bana, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11034751 Issued in FL

Practice address

5000 US Highway 17 Ste 18
Fleming Island, FL 32003-8250

Phone

(904) 544-3608

Fax

(904) 544-3614

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Angela White Arnp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fleming Island, FL
  • NPI 1457878654
  Medicare reassignment NPD
• Angela White Arnp PLLC

  • Community/Behavioral Health Agency
  • Fleming Island, FL
  • NPI 1841592896
  NPD (past)

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1548092018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 GATE PARKWAY BLDG 100",
            "address_2": "SUITE 100 PMB1026",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-717-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 17 STE 18",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038250",
            "telephone_number": "904-544-3608",
            "fax_number": "904-544-3614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5011 Gate Parkway Bldg 100",
            "address_2": "Suite 100 PMB1026",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32256",
            "country_code": "US",
            "telephone_number": "904-717-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANA",
        "first_name": "MARICAR",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11034751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Ayer, OD
• Jose A Baez Lorenzo, M.D.
• Jennifer Maurer Bailey, LCSW
• Julie Geiger Bailey, D.M.D.
• Alexandra Baker, PA-C
• Christine Ko Bang, M.D.
• Baptist Cardiology Inc
• Baptist Cardiology Inc
• Baptist ENT Specialists Inc
• Baptist MD Anderson Cancer Physicians

• Psychiatric/Mental Health Nurse Practitioner in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.