Individual provider Active NPI

Monica Antigua

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1841759255
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000775 Issued in FL
Practice address
1301 Plantation Island Dr S
St Augustine, FL 32080-3108
Phone
(904) 471-2593
Fax
(904) 471-4569
NPI assigned
Mar 15, 2019
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11000775 FL
Family Nurse Practitioner 363LF0000X APRN11000775 FL Primary

Addresses

Primary practice location

1301 Plantation Island Dr S
St Augustine, FL 32080-3108

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

2460 Old Moultrie Rd Ste 5
St Augustine, FL 32086-4198
Phone (904) 797-5740

Other identifiers 1

IdentifierTypeStateIssuer
000OtherALL APPLICATIONS ARE PENDING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190412000026 FL Practitioner - Nurse Practitioner 3476894866 Reassigns benefits to 2 organizations
I20250221001160 CA Practitioner - Nurse Practitioner 3476894866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1301 Plantation Island Dr S
Suite 102B
St Augustine, FL 32080-3110
Phone (904) 471-2593

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000775FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince May 30, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince May 30, 2025 Accepting new patients
Express Family Care CurrentSince Jun 27, 2024 Accepting new patients
Easy Health Medical Solutions PC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients

Locations

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331

300 S Main St
Crescent City, FL 32112
Phone (386) 530-4990

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

1301 Plantation Island Dr S
Ste 102B
Saint Augustine, FL 32080
Phone (904) 471-2593

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1841759255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803108",
            "telephone_number": "904-471-2593",
            "fax_number": "904-471-4569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Old Moultrie Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320864198",
            "country_code": "US",
            "telephone_number": "904-797-5740",
            "fax_number": "904-797-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIGUA",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000775",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL APPLICATIONS ARE PENDING",
            "identifier": "000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.