Active NPI
Manuela Claudia Cismaru, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11001053
- Practice address
- 9422 Arlington Expy
Jacksonville, FL 32225-8231 - Phone
- (904) 559-1844
- NPI assigned
- Jul 29, 2019
- Last updated
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11001053 | FL | Primary |
Addresses
Primary practice location
9422 Arlington Expy
Jacksonville, FL 32225-8231
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (904) 559-1844
Other practice location 1
1100 Cesery Blvd
Jacksonville, FL 32211-5674
Phone (904) 551-5884
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001053 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Baptist Primary Care Inc | Family | Past | Accepting new patients |
Locations
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
9422 Arlington Expy
Jacksonville, FL 32225
Phone (904) 559-1844
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1568016459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "904-559-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9422 ARLINGTON EXPY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322258231",
"telephone_number": "904-559-1844"
}
],
"practiceLocations": [
{
"address_1": "1100 Cesery Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322115674",
"country_code": "US",
"telephone_number": "904-551-5884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISMARU",
"first_name": "MANUELA",
"middle_name": "CLAUDIA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11001053",
"primary": true
}
],
"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 Sep 28, 2021; 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.