Individual provider Active NPI

Monica Deann Afamefune, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1730868878
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11027391 Issued in FL
Practice address
14550 Tranquility Creek Dr
Jacksonville, FL 32226-4482
Phone
(904) 228-3624
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11027391 FL Primary

Addresses

Primary practice location

14550 Tranquility Creek Dr
Jacksonville, FL 32226-4482

Mailing address

14550 Tranquility Creek Dr
Jacksonville, FL 32226-4482
Phone (904) 228-3624

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
I20250424000914 FL Practitioner - Nurse Practitioner 3375069248 Reassigns benefits to 2 organizations

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
Gateway Community Services IncGroup PAC ID 7618056649, 5 clinicians

Practice addresses (Care Compare)

555 Stockton St
Jacksonville, FL 32204-2534
Phone (904) 387-4661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027391FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Services, Inc. Single Specialty CurrentSince Apr 5, 2025 Accepting new patients
Epic Community Services, Inc Single Specialty CurrentSince Apr 10, 2025 Accepting new patients

Locations

2323 N State St
Unit 57
Bunnell, FL 32110

2323 N State St
Unit 58
Bunnell, FL 32110
Phone 90482922734030

555 Stockton St
Jacksonville, FL 32204
Phone (904) 387-4661

3574 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 217-7161

3574 US Highway 1 S
Ste 111
Saint Augustine, FL 32086
Phone (904) 797-3115

1400 Old Dixie Hwy
Ste A
St Augustine, FL 32084
Phone (904) 819-1250

3910 Lewis Speedway
Ste 1106
St Augustine, FL 32084
Phone 90482922734030

3910 Lewis Speedway
Ste 1103
St Augustine Beach, FL 32084
Phone (386) 837-9686

Organizations & group practices 2

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1730868878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 TRANQUILITY CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322264482",
            "telephone_number": "904-228-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 TRANQUILITY CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322264482",
            "telephone_number": "904-228-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFAMEFUNE",
        "first_name": "MONICA",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11027391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.