Carol Ann Abbott, ARNP, FNP-C
Individual provider Active NPI Nurse Practitioner · Jacksonville, FL
NPI 1629427240 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1629427240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN9337165 (FL)
- Practice address
- 4500 San Pablo Rd S
Jacksonville, FL 32224-1865 - Phone
- (904) 953-2000
- NPI assigned
- Jun 4, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Jacksonville
Practice addresses (Care Compare)
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Hospital & facility affiliations
- Mayo Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171002001779 | FL | Practitioner - Nurse Practitioner | 1557636594 | Reassigns benefits to 2 organizations |
| I20200429001742 | GA | Practitioner - Nurse Practitioner | 1557636594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9337165 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| Mayo Clinic Jacksonville | Current |
Accepting new patients | |
| Mayo Clinic Jacksonville | Current |
Accepting new patients |
Locations
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815
1760 Edgewood Ave W
Ste Ab
Jacksonville, FL 32208
Phone (904) 358-8480
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
1375 E King Ave
Ste B
Kingsland, GA 31548
Phone (912) 882-2910
1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9337165 | FL | |
| Nurse Practitioner | 363L00000X | APRN9337165 | FL | Yes |
Addresses
Primary practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cabbott1386229@ehrdirect.mayoclinicmsg.org |
Other providers in Jacksonville, FL
- Sara Abbas
- Syed K Abbas
- Teena Abbas
- Abdi Abbassi
- Ryan Abbaszadeh
- James L Abbott
- Kimberly Abbott
- Lucien Naji Abboud
- Melanie B Abboud
- Abc Feet Inc
All providers in Jacksonville, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.