Anisa Cutuk, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN11034184 Issued in FL

Practice address

905 Park Ave Ste 102
Orange Park, FL 32073-4110

Phone

(904) 736-2335

Fax

(904) 736-2336

NPI assigned

Nov 6, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Institute of Pain Medicine LLCGroup PAC ID 4385769686, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent's Riverside Hospital, Jacksonville, FL, CCN 100040
• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Florida Institute of Pain Medicine LLC

  dba Florida Pain Physicians

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1194056283

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Florida Institute of Pain Medicine LLC

  dba Florida Pain Physicians

  • Interventional Pain Medicine Physician
  • Palm Coast, FL
  • NPI 1144913666

  Single Specialty

  NPD
• Vip Pain Services LLC

  • Pain Medicine Physician
  • Orange Park, FL
  • NPI 1740936269

  Single Specialty

  NPD

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

• Southern Baptist Hospital of Florida Inc

  dba Baptist Medical Center

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation
• St Vincents Medical Center Inc

  dba Ascension St. Vincent's Riverside

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1134117575
  Care Compare affiliation
• St. Vincent's Medical Center, Inc.

  dba Ascension St Vincent's Riverside

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1669556072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1801619051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10834 BIRCHARD LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576950",
            "telephone_number": "404-503-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PARK AVE STE 102",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734110",
            "telephone_number": "904-736-2335",
            "fax_number": "904-736-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTUK",
        "first_name": "ANISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11034184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa J Cumpstone, M.D.
• Sandra Ann Currie, LMHC
• Sara Curry
• Elizabeth Blake Curtis
• Shawn Lorenzo Curtis, PHARMACIST
• Lauryn D'Amato
• Daniel Kao-Lyn Dagenhart, DO
• Kylie Daguio, DO
• Lyn Dahm, PTA
• Plasia Dailey

• Acute Care Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.

Verify at the official NPI Registry.