Individual provider Active NPI

Angela Michelle Combes, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1811627102
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020164 Issued in FL
Practice address
5829 Pepsi PL
Jacksonville, FL 32216-6162
Phone
(904) 443-0885
Fax
(904) 443-0886
NPI assigned
Jun 10, 2022
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11020164 FL Primary

Addresses

Primary practice location

5829 Pepsi PL
Jacksonville, FL 32216-6162

Mailing address

241 Royal Lake Dr
Ponte Vedra, FL 32081-0509
Phone (904) 234-9585

Other names 1

  • Angela Michelle Najafi Former name

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
I20220906000918 FL Practitioner - Nurse Practitioner 1456735711 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020164FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Sep 19, 2022 Accepting new patients

Locations

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

Organizations & group practices 1

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1811627102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 ROYAL LAKE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810509",
            "telephone_number": "904-234-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 PEPSI PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166162",
            "telephone_number": "904-443-0885",
            "fax_number": "904-443-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBES",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NAJAFI",
            "middle_name": "MICHELLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.