Individual provider Active NPI

Monica Parco, MSN, FNP-C

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1720598915
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006653 Issued in FL
Practice address
2703 N Ponce de Leon Blvd
St Augustine, FL 32084-2603
Phone
(904) 824-2868
NPI assigned
Oct 2, 2017
Last updated
Apr 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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 0024175319 VA
Family Nurse Practitioner 363LF0000X APRN11006653 FL Primary

Addresses

Primary practice location

2703 N Ponce de Leon Blvd
St Augustine, FL 32084-2603

Mailing address

2703 N Ponce de Leon Blvd
St Augustine, FL 32084-2603
Phone (904) 824-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20180124001656 VA Practitioner - Nurse Practitioner 2961761721 Reassigns benefits to 1 organization
I20210623002369 FL Practitioner - Nurse Practitioner 2961761721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2703 N Ponce de Leon Blvd
Saint Augustine, FL 32084-2603
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006653FLMDFamily Nurse Practitioner
0024175319VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Single Specialty CurrentSince May 12, 2021 Accepting new patients
Loudoun Medical Group, PC CurrentSince Nov 4, 2017 Accepting new patients
Loudoun Medical Group, PC Single Specialty CurrentSince Nov 4, 2017 Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

2703 N Ponce de Leon Blvd
St Augustine, FL 32084
Phone (904) 824-2838

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

19490 Sandridge Way
Ste 210
Leesburg, VA 20176
Phone (703) 723-7504

19490 Sandridge Way
Ste 240
Leesburg, VA 20176
Phone (571) 223-5723

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1720598915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N PONCE DE LEON BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842603",
            "telephone_number": "904-824-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N PONCE DE LEON BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842603",
            "telephone_number": "904-824-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCO",
        "first_name": "MONICA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175319",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.