Individual provider Active NPI

Constance Grace Compton, APRN

  • Critical Care Medicine Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1750954046
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
11014160 Issued in FL
Practice address
1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535
Phone
(904) 253-6910
Fax
(904) 253-6964
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 11014160 FL Primary

Addresses

Primary practice location

1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535

Mailing address

1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535
Phone (904) 253-6910

Other identifiers 1

IdentifierTypeStateIssuer
111529700MedicaidFL

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
I20210828000376 FL Practitioner - Nurse Practitioner 3779988795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1325 San Marco Blvd
Jacksonville, FL 32207-8568
Phone (904) 253-6910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014160FLMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2021 Accepting new patients
Respiratory Critical Care and Sleep Medicine Associates,Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

1325 San Marco Blvd
Ste 300
Jacksonville, FL 32207
Phone (904) 202-4243

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910

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

1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910

1370 13th Ave S
Ste 220
Jax Bch, FL 32250
Phone (904) 253-6910

1658 St Vincents Way
Ste 310
Middleburg, FL 32068
Phone (904) 308-2006

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1750954046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 SAN MARCO BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078535",
            "telephone_number": "904-253-6910",
            "fax_number": "904-253-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 SAN MARCO BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078535",
            "telephone_number": "904-253-6910",
            "fax_number": "904-253-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "CONSTANCE",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "11014160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111529700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.