Active NPI
Marija Glodevic Kantarevic, APRN
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11033264
- Practice address
- 7751 Baymeadows Rd E Ste 205
Jacksonville, FL 32256-5836 - Phone
- (904) 239-2132
- NPI assigned
- Nov 6, 2023
- Last updated
- Jun 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9316148 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11033264 | FL | Primary |
Addresses
Primary practice location
7751 Baymeadows Rd E Ste 205
Jacksonville, FL 32256-5836
Mailing address
1936 Hollington Dr
Jacksonville, FL 32246-8459
Phone (904) 673-8091
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7751 Baymeadows Rd E
205 Uf Health Oncology Baymeadows
Jacksonville, FL 32256-5836
Phone (904) 427-1050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9316148 | FL | MD | Registered Nurse |
| 11033264 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Shands Jacksonville Medical Center Inc | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Shands Jacksonville Medical Center Inc | Current | Accepting new patients |
Locations
1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990
1699 S 14th St
Ste 1
Fernandina Beach, FL 32034
Phone (904) 427-1370
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
425 N Lee St
Ste 204
Jacksonville, FL 32204
Phone (904) 277-3477
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
7751 Baymeadows Rd E
Ste 2
Jacksonville, FL 32256
Phone (904) 427-1050
7751 Baymeadows Rd E
Ste 205
Jacksonville, FL 32256
Phone (904) 427-1050
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
3210 Fruitville Rd
Sarasota, FL 34237
Phone (941) 364-8887
Interoperability endpoints
- mkantarevic119334@direct.shands.ufl.edu
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.
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1851892467
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
dba South Florida Surgical Oncology
- Surgical Oncology Physician
- Fort Myers, FL
- NPI 1659755783
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1609649235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 HOLLINGTON DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468459",
"telephone_number": "904-673-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 BAYMEADOWS RD E STE 205",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565836",
"telephone_number": "904-239-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTAREVIC",
"first_name": "MARIJA",
"middle_name": "GLODEVIC",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9316148",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11033264",
"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 Jun 6, 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.
- 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.