Individual provider Active NPI

Vanessa Z Riegert-Johnson, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1720030950
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME102817 Issued in FL
Practice address
1 Unf Dr BLDG 39-a
Jacksonville, FL 32224-7699
Phone
(904) 620-2900
Fax
(904) 620-2902
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50118 MN
Internal Medicine Physician 207R00000X ME102817 FL Primary

Addresses

Primary practice location

1 Unf Dr BLDG 39-a
Jacksonville, FL 32224-7699

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Other practice location 1

1660 Prudential Dr Ste 400
Jacksonville, FL 32207-8188
Phone (904) 396-5510

Other practice location 2

836 Prudential Dr Ste 1006
Jacksonville, FL 32207-8337
Phone (904) 202-1795

Other practice location 3

400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Phone (904) 202-1795

Other identifiers 1

IdentifierTypeStateIssuer
697601800MedicaidMN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000091 FL Practitioner - Internal Medicine 6002865250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mayo Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1660 Prudential Dr
Suite 400
Jacksonville, FL 32207-8188
Phone (904) 396-0000

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50118MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Internal Medicine CurrentSince May 4, 2020 Accepting new patients
Baptist Primary Care Inc CurrentSince May 4, 2020 Accepting new patients
Lyerly Baptist Inc CurrentSince Apr 1, 2025 Accepting new patients
University of North Florida Student Medical Service PastSince May 12, 2024 Accepting new patients

Locations

45465 Fifth Ave
Callahan, FL 32011
Phone (904) 879-4544

1660 Prudential Dr
Ste 400
Jacksonville, FL 32207
Phone (904) 396-0000

836 Prudential Dr
Ste 1400
Jacksonville, FL 32207
Phone (904) 396-0000

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

836 Prudential Dr
Ste 1006
Jacksonville, FL 32207
Phone (904) 202-1795

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

400 Colonnade Dr
Ste 230
Ponte Vedra Beach, FL 32081
Phone (904) 202-1795

Interoperability endpoints

  • Direct secure messaging: vriegertjohnson28417@baptisthealthsystemjacksonville.direct-ci.com

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1720030950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNF DR BLDG 39-A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247699",
            "telephone_number": "904-620-2900",
            "fax_number": "904-620-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Prudential Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078188",
            "country_code": "US",
            "telephone_number": "904-396-5510",
            "fax_number": "904-396-5206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Prudential Dr Ste 1006",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078337",
            "country_code": "US",
            "telephone_number": "904-202-1795",
            "fax_number": "904-376-3478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Colonnade Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816237",
            "country_code": "US",
            "telephone_number": "904-202-1795",
            "fax_number": "904-376-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEGERT-JOHNSON",
        "first_name": "VANESSA",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "50118",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697601800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.