Individual provider Active NPI

Jennifer Ann McCrea, ARNP

  • Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1578736815
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9243224 Issued in FL
Practice address
1893 Kingsley Ave
Suite C
Orange Park, FL 32073-4491
Phone
(904) 276-2044
Fax
(904) 276-2106
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9243224 FL Primary

Addresses

Primary practice location

1893 Kingsley Ave
Suite C
Orange Park, FL 32073-4491

Mailing address

1893 Kingsley Ave
Suite C
Orange Park, FL 32073-4491
Phone (904) 276-2044

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
I20121130000115 FL Practitioner - Nurse Practitioner 8729230537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Infectious Disease Associates PAGroup PAC ID 3971566365, 6 clinicians
Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

1536 Kingsley Ave
Suite 118
Orange Park, FL 32073-4525
Phone (904) 298-2113

1747 Baptist Clay Dr
Suite 300
Fleming Island, FL 32003-8503
Phone (904) 214-8100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Infectious Disease Associates PA CurrentSince Aug 26, 2020 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 1, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 1, 2018 Accepting new patients
Borland Groover Clinic, PA CurrentSince May 1, 2019 Accepting new patients

Locations

1747 Baptist Clay Dr
Ste 300
Fleming Island, FL 32003
Phone (904) 214-8080

425 N Lee St
Ste 101
Jacksonville, FL 32204
Phone (904) 358-9587

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433

159 N 3rd St
Ste B
Macclenny, FL 32063
Phone (904) 449-7288

1536 Kingsley Ave
Ste 118
Orange Park, FL 32073
Phone (904) 298-2113

1893 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 375-8850

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1578736815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 KINGSLEY AVE",
            "address_2": "SUITE C",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734491",
            "telephone_number": "904-276-2044",
            "fax_number": "904-276-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 KINGSLEY AVE",
            "address_2": "SUITE C",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734491",
            "telephone_number": "904-276-2044",
            "fax_number": "904-276-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9243224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.