Individual provider Active NPI

John H Linder, NP

  • Nurse Practitioner
  • Ponte Vedra Beach, FL
National Provider Identifier
1730648569
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11028112 Issued in FL
Practice address
151 Sawgrass Corners Dr Ste 208
Ponte Vedra Beach, FL 32082-3579
Phone
(904) 395-5598
Fax
(904) 395-5658
NPI assigned
Mar 19, 2019
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028112 FL Primary

Addresses

Primary practice location

151 Sawgrass Corners Dr Ste 208
Ponte Vedra Beach, FL 32082-3579

Mailing address

151 Sawgrass Corners Dr Ste 208
Ponte Vedra Beach, FL 32082-3579
Phone (904) 395-5598

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
I20240328000186 FL Practitioner - Nurse Practitioner 2466792510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Sawgrass Corners Dr
Suite 201
Ponte Vedra Beach, FL 32082-3579
Phone (904) 395-5598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028112FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Valley Eye Care and Surgeons, LLC CurrentSince Oct 5, 2025 Accepting new patients
Northeast Florida Wellness PLLC Nurse Practitioner CurrentSince Jan 30, 2024 Accepting new patients
Waybridge PC PastSince Feb 11, 2024 Accepting new patients

Locations

151 Sawgrass Corners Dr
Ste 201
Ponte Vedra Beach, FL 32082
Phone (904) 395-5598

151 Sawgrass Corners Dr
Ste 208
Ponte Vedra Beach, FL 32082
Phone (904) 395-5598

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1730648569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR STE 208",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823579",
            "telephone_number": "904-395-5598",
            "fax_number": "904-395-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR STE 208",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823579",
            "telephone_number": "904-395-5598",
            "fax_number": "904-395-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.