Individual provider Active NPI

Jaleesa Bachmann

  • Family Nurse Practitioner
  • Callahan, FL
National Provider Identifier
1629763552
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025658 Issued in FL
Practice address
542435 US Highway 1
Callahan, FL 32011-3497
Phone
(904) 507-4623
NPI assigned
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11025658 FL Primary

Addresses

Primary practice location

542435 US Highway 1
Callahan, FL 32011-3497

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866

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
I20230415000183 FL Practitioner - Nurse Practitioner 5991170490 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic of Jacksonville LLCGroup PAC ID 1052409307, 56 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11025658FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC CurrentSince Apr 27, 2024 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Apr 27, 2024 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Apr 27, 2024 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Apr 27, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Mar 7, 2023 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Apr 27, 2024 Accepting new patients
Solantic/South Florida, LLC CurrentSince Apr 27, 2024 Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Mar 7, 2023 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 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

Organizations & group practices 10

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": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1629763552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542435 US HIGHWAY 1",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113497",
            "telephone_number": "904-507-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMANN",
        "first_name": "JALEESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callahan, FL

Sources for this page

Verify at the official NPI Registry.