Individual provider Active NPI

Aimee Roberts-Serrato, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1659828994
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9201857 Issued in FL
Practice address
12058 San Jose Blvd Ste 1003
Jacksonville, FL 32223-8667
Phone
(904) 321-9875
NPI assigned
Sep 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9201857 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9201857 FL Primary

Addresses

Primary practice location

12058 San Jose Blvd Ste 1003
Jacksonville, FL 32223-8667

Mailing address

11250 Old Saint Augustine Rd Ste 15-137
Jacksonville, FL 32257-1088

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
I20161212001366 FL Practitioner - Nurse Practitioner 8426338310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
B Beardsley Arnp, PLLCGroup PAC ID 5991105678, 3 clinicians

Practice addresses (Care Compare)

12058 San Jose Blvd
Suite 1003
Jacksonville, FL 32223-8667
Phone (904) 321-9875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9201857FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wekiva Springs Center LLC CurrentSince Jun 5, 2022 Accepting new patients
B Beardsley Arnp, PLLC Psychiatric/Mental Health CurrentSince Jun 15, 2022 Accepting new patients

Locations

3947 Salisbury Rd
Jacksonville, FL 32216
Phone (904) 296-3522

12058 San Jose Blvd
Ste 1003
Jacksonville, FL 32223
Phone (904) 321-9875

Interoperability endpoints

  • Direct secure messaging: aimee.roberts.p32@direct.medcor.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1659828994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 OLD SAINT AUGUSTINE RD STE 15-137",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 1003",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238667",
            "telephone_number": "904-321-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-SERRATO",
        "first_name": "AIMEE",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9201857",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9201857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.