Individual provider Active NPI

Justine I Nesset, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Fernandina Beach, FL
National Provider Identifier
1669067377
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018895 Issued in FL
Practice address
1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone
(904) 432-3061
Fax
(904) 432-3062
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 APRN11018895 FL Primary

Addresses

Primary practice location

1132 S 14TH St
Fernandina Beach, FL 32034-2920

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 1

IdentifierTypeStateIssuer
114136100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210311001883 GA Practitioner - Nurse Practitioner 7911313226 Reassigns benefits to 2 organizations
I20220505001735 FL Practitioner - Nurse Practitioner 7911313226 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Apr 3, 2024 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince Mar 1, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 3, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Feb 27, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince May 2, 2022 Accepting new patients
Coastal Community Health Services Inc CurrentSince Feb 27, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 2, 2022 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

1132 S 14th St
Fernandina Beach, FL 32034
Phone (904) 277-4690

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

15255 Max Leggett Pkwy
Ste 3900
Jacksonville, FL 32218
Phone (352) 265-8940

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

100 Professional Center Dr
Brunswick, GA 31525

202 Lakeshore Dr
Saint Marys, GA 31558
Phone (912) 534-3085

2040 Dan Proctor Dr
Ste 120
Saint Marys, GA 31558
Phone (912) 540-6760

Organizations & group practices 8

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1669067377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342920",
            "telephone_number": "904-432-3061",
            "fax_number": "904-432-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSET",
        "first_name": "JUSTINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114136100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.