Millely Josefina Summers

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9354385 Issued in FL

Practice address

6444 Beach Blvd
Jacksonville, FL 32216-2891

Phone

(904) 805-9600

Fax

(904) 805-0084

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians

R K Vishen MD P aGroup PAC ID 1052409703, 6 clinicians

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

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Florida Institute of Pain Medicine LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1194056283
  Medicare reassignment Care Compare group NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• R K Vishen MD P a

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1912011511
  Medicare reassignment Care Compare group NPD
• Eugene H McCoskey, D.O., P.a.

  • Pulmonary Disease Physician
  • Orange Park, FL
  • NPI 1750733580
  Medicare reassignment NPD
• Hni Hospital Services of Florida, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Panama City, FL
  • NPI 1144851411

  Nurse Practitioner

  Medicare reassignment NPD
• Florida Institute of Pain Medicine LLC

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

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1831689678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 EAGLE HARBOR PKWY",
            "address_2": "STE B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034817",
            "telephone_number": "904-388-3357",
            "fax_number": "904-384-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162891",
            "telephone_number": "904-805-9600",
            "fax_number": "904-805-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "MILLELY",
        "middle_name": "JOSEFINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9354385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP9354385",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Summerlin, DDS
• Bibi Summers-Cabble
• Kelly Marie Summers, ARNP
• Kendra Summers, OTR/L
• Lesley Nicole Summers, MAT, MA, CCC-SLP
• Sarahlynn Chantelle Summers, RN, BSN
• Summerville at Mandarin, LLC
• Jeanie Summerville, ARNP, CNM
• Summit BHC Jacksonville LLC
• Summit Emergency Physicians, LLC

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.