Individual provider Active NPI

Karina Nicole Chang, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1699455782
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11026712 Issued in FL
Practice address
2800 University Blvd N
Jacksonville, FL 32211-3321
Phone
(904) 256-8000
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 11026712 FL Primary

Addresses

Primary practice location

2800 University Blvd N
Jacksonville, FL 32211-3321

Mailing address

951 Cypress Rd
Saint Augustine, FL 32086-5068

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
I20231003001760 FL Practitioner - Nurse Practitioner 3971957374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology Institute LLCGroup PAC ID 2163653585, 152 clinicians

Practice addresses (Care Compare)

240 Southpark Cir E
Saint Augustine, FL 32086-5137
Phone (904) 824-1450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
80.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11026712FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC CurrentSince Aug 13, 2024 Accepting new patients
Memorial Hospital Flagler Inc. CurrentSince Sep 26, 2023 Accepting new patients
Memorial Hospital Flagler Inc CurrentSince Sep 26, 2023 Accepting new patients
Advanced Urology Institute, LLC CurrentSince Aug 13, 2024 Accepting new patients
Adventhealth Primary Care Network Inc Family Past Accepting new patients

Locations

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280

120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

240 Southpark Cir E
St Augustine, FL 32086
Phone (904) 824-1450

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
  • Direct secure messaging: kchang103597@direct.shands.ufl.edu
  • Direct secure messaging: kchang1934881@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1699455782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 CYPRESS RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113321",
            "telephone_number": "904-256-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KARINA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.