Individual provider Active NPI

Jeanine Onischuck, N.P.

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1699142471
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006457 Issued in FL
Practice address
841 Prudential Dr Ste 1900
Jacksonville, FL 32207-8373
Phone
(904) 427-7076
Fax
(904) 633-0958
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 95002895 CA
Family Nurse Practitioner 363LF0000X 11006457 FL Primary

Addresses

Primary practice location

841 Prudential Dr Ste 1900
Jacksonville, FL 32207-8373

Mailing address

841 Prudential Dr Ste 1900
Jacksonville, FL 32207-8373
Phone (904) 427-7076

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
I20200916001533 FL Practitioner - Nurse Practitioner 6002194040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

841 Prudential Dr
Suite 140
Jacksonville, FL 32207-8363
Phone (904) 346-0394

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002895CAMDFamily Nurse Practitioner
11006457FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Georgia Primary Care Partners, LLC Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 21, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 21, 2020 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

841 Prudential Dr
Ste 140
Jacksonville, FL 32207
Phone (904) 346-0394

841 Prudential Dr
Ste 1900
Jacksonville, FL 32207
Phone (904) 427-8453

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515

Interoperability endpoints

  • Direct secure messaging: jonischuck473454@direct.shands.ufl.edu

Organizations & group practices 4

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1699142471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078373",
            "telephone_number": "904-427-7076",
            "fax_number": "904-633-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078373",
            "telephone_number": "904-427-7076",
            "fax_number": "904-633-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONISCHUCK",
        "first_name": "JEANINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.