Individual provider Active NPI

Anne E Yates, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1639480114
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1322652 Issued in FL
Practice address
841 Prudential Dr Ste 180
Jacksonville, FL 32207-8350
Phone
(904) 202-4600
Fax
(904) 202-4639
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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 ARNP1322652 FL Primary

Addresses

Primary practice location

841 Prudential Dr Ste 180
Jacksonville, FL 32207-8350

Mailing address

PO Box 3162
Salt Lake City, UT 84110-3162
Phone (904) 202-1032

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
I20100928001289 FL Practitioner - Nurse Practitioner 3072639939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Agewell Physicians IncGroup PAC ID 0244480531, 19 clinicians

Practice addresses (Care Compare)

700 3Rd St
Suite 102
Neptune Beach, FL 32266-5082
Phone (904) 202-4243

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Agewell Physicians Inc CurrentSince Jan 16, 2017 Accepting new patients
Baptist Primary Care Inc Family Past Accepting new patients

Locations

1325 San Marco Blvd
Ste 300
Jacksonville, FL 32207
Phone (904) 202-4243

841 Prudential Dr
Ste 180
Jacksonville, FL 32207
Phone (904) 202-3300

700 3rd St
Ste 102
Neptune Beach, FL 32266
Phone (904) 202-4243

98 Nocatee Village Dr
Ponte Vedra Beach, FL 32081
Phone (904) 202-4243

Interoperability endpoints

  • Direct secure messaging: ayates20959@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1639480114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3162",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103162",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 180",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078350",
            "telephone_number": "904-202-4600",
            "fax_number": "904-202-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "ANNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1322652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.