Active NPI
Glinda Wortham, APRN
- Family Nurse Practitioner
- Yulee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11001244
- Practice address
- 851042 US Highway 17
Yulee, FL 32097-2845 - Phone
- (904) 633-0670
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11001244 | FL | Primary |
Addresses
Primary practice location
851042 US Highway 17
Yulee, FL 32097-2845
Mailing address
83381 Purple Martin Dr
Yulee, FL 32097-2631
Phone (904) 631-4685
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Florida Jacksonville Physicians, Inc.
Practice addresses (Care Compare)
1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690
3465 Village Ctr Dr
Jacksonville, FL 32206-8617
Phone (904) 355-1893
Hospital & facility affiliations
- Shands Jacksonville
- Baptist Medical Center - Nassau
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
1132 S 14th St
Fernandina Beach, FL 32034
Phone (904) 277-4690
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
3465 Village Center Dr
Jacksonville, FL 32206
Phone (904) 355-1893
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
851042 US Highway 17
Yulee, FL 32097
Phone (904) 225-3824
Interoperability endpoints
- glinda.wortham.1@4290.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1487814752
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Family Medicine Physician
- Yulee, FL
- NPI 1518126168
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1790249092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83381 PURPLE MARTIN DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320972631",
"telephone_number": "904-631-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851042 US HIGHWAY 17",
"city": "YULEE",
"state": "FL",
"postal_code": "320972845",
"telephone_number": "904-633-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHAM",
"first_name": "GLINDA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11001244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.