Individual provider Active NPI

Denise Amanda Matthews, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1750823225
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9282551 Issued in FL
Practice address
5011 Gate Parkway
BLDG 100 Ste 100
Jacksonville, FL 32256-3225
Phone
(904) 512-7239
Fax
(866) 380-0827
NPI assigned
Nov 15, 2016
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9282551 FL Primary
Internal Medicine Physician 207R00000X APRN9282551 FL
Interventional Pain Medicine Physician 208VP0014X APRN9282551 FL

Addresses

Primary practice location

5011 Gate Parkway
BLDG 100 Ste 100
Jacksonville, FL 32256-3225

Mailing address

5011 Gate Parkway
BLDG 100 Ste 100
Jacksonville, FL 32256-1165
Phone (904) 512-7239

Other practice location 1

8773 Perimeter Park Ct Fl 1165
Jacksonville, FL 32216-1165
Phone (904) 333-5497

Other practice location 2

6042 Bartram Village Dr
Jacksonville, FL 32258-7708
Phone (904) 333-5497

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
I20170524000164 FL Practitioner - Nurse Practitioner 3870860828 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Jax Geriatrics LLCGroup PAC ID 9537457395, 4 clinicians

Practice addresses (Care Compare)

1141 Armsdale Rd
Lakeside Nurse and Rehabilitation
Jacksonville, FL 32218
Phone (904) 714-3793

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
85.33
Improvement activities
40
Cost
69.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9282551FLMDInterventional Pain Medicine Physician
ARNP9282551FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince May 1, 2021 Accepting new patients
Aaron J West MD PA Internal Medicine CurrentSince Jan 2, 2021 Accepting new patients
West Jax Geriatrics, LLC CurrentSince Feb 1, 2022 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Jacksonville Lung Clinic LLC CurrentSince Aug 1, 2018 Accepting new patients
Dr. Michael V. Sharpe Past Accepting new patients
Symphony Specialty Group, LLC PastSince Jul 17, 2023 Accepting new patients

Locations

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

3756 W 3rd St
Hilliard, FL 32046
Phone (570) 352-3063

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

5011 Gate Pkwy
Bldg 100
Jacksonville, FL 32256
Phone (904) 512-7239

8773 Perimeter Park Ct
Jacksonville, FL 32216
Phone (904) 493-3390

8773 Perimeter Park Ct
Fl 1165
Jacksonville, FL 32216
Phone (904) 333-5497

1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-1219

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Organizations & group practices 8

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1750823225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 GATE PARKWAY",
            "address_2": "BLDG 100 STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561165",
            "telephone_number": "904-512-7239",
            "fax_number": "866-380-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 GATE PARKWAY",
            "address_2": "BLDG 100 STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563225",
            "telephone_number": "904-512-7239",
            "fax_number": "866-380-0827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8773 Perimeter Park Ct Fl 1165",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322161165",
            "country_code": "US",
            "telephone_number": "904-333-5497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6042 Bartram Village Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587708",
            "country_code": "US",
            "telephone_number": "904-333-5497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "DENISE",
        "middle_name": "AMANDA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9282551",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "APRN9282551",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "APRN9282551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.