Betsy Suzanne Cirolia, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2065772 Issued in FL

Practice address

3505 University Blvd W
Jacksonville, FL 32217-2130

Phone

(904) 438-7683

NPI assigned

Feb 28, 2007

Last updated

Mar 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Gainesville Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Gainesville, FL
  • NPI 1164759890
  NPD (past)
• Heathrow Internal Medicine LLC

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1033387865
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1639206246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILMOT RD MS # 3113",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154614",
            "telephone_number": "800-825-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172130",
            "telephone_number": "904-438-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIROLIA",
        "first_name": "BETSY",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2065772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002641 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E3331Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001685500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina M Cipollina, PAC
• Alberto Kris Cipollone, IDC
• Circle of Hope Inc
• Cintia Ferreira Ciriaco
• Slobadon Ciric, D.M.D
• Janae V Cisero, PT
• Nicole Cisler
• Manuela Claudia Cismaru, ARNP
• Mario Cisneros
• Carly Elise Cisson, LMHC, NCC

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.