Jaleesa Bachmann
Individual provider Active NPI Family Nurse Practitioner · Callahan, FL
NPI 1629763552 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1629763552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11025658 (FL)
- Practice address
- 542435 US Highway 1
Callahan, FL 32011-3497 - Phone
- (904) 507-4623
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Solantic of Jacksonville LLC
Practice addresses (Care Compare)
12303 San Jose Blvd
Jacksonville, FL 32223-2640
Phone (615) 600-4074
1544 County Rd
220 Suite 100
Orange Park, FL 32003-4991
Phone (904) 830-9009
1708 Blanding Blvd
Middleburg, FL 32068-3836
Phone (615) 600-4074
2140 Kingsley Ave
Orange Park, FL 32073-5180
Phone (615) 600-4074
2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337
4498 Hendricks Ave
Jacksonville, FL 32207-6326
Phone (615) 600-4074
9680 Argyle Forest Blvd
Suite 34
Jacksonville, FL 32222-2847
Phone (904) 569-7771
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20230415000183 | FL | Practitioner - Nurse Practitioner | 5991170490 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11025658 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Carespot of Orlando Hsi Urgent Care LLC | Current |
Accepting new patients | |
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| West Boynton Urgent Care, LLC | Current |
Accepting new patients | |
| Hma/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Solantic of Jacksonville, LLC | Current |
Accepting new patients | |
| Shands/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Solantic/South Florida, LLC | Current |
Accepting new patients | |
| Solantic of Jacksonville, LLC | Past |
Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202
8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273
542435 US Highway 1
Callahan, FL 32011
Phone (904) 507-4623
1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463
720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000
2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337
18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280
9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881
1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041
1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200
463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11025658 | FL | Yes |
Addresses
Primary practice location
542435 US Highway 1
Callahan, FL 32011-3497
Mailing address
1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Other providers in Callahan, FL
- Shuaib Akbari
- Kathryn Kelly Anderson
- Victoria Anderson
- Danielle Austin
- Juan Avelino
- Baptist Primary Care Inc
- Lisa Blas
- Bloom Pediatrics, PLLC
- Mark Nicholas Brinkman
- Callahan Chiropractic Clinic
All providers in Callahan, FL · Family 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 Apr 6, 2023. 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.