Individual provider Active NPI

Veronica H Bartley, APRN

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1851851554
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11001870 Issued in FL
Practice address
819 Townsend Blvd
Jacksonville, FL 32211-6132
Phone
(904) 374-3311
Fax
(904) 374-3338
NPI assigned
Mar 20, 2019
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11001870 FL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 11001870 FL

Addresses

Primary practice location

819 Townsend Blvd
Jacksonville, FL 32211-6132

Mailing address

15319 Spotted Stallion TRL
Jacksonville, FL 32234-2397
Phone (904) 294-6985

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
I20220926002314 FL Practitioner - Nurse Practitioner 5597141721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists of Northeast Florida PLLCGroup PAC ID 4587848163, 6 clinicians

Practice addresses (Care Compare)

6428 Beach Blvd
Suite 1a
Jacksonville, FL 32216-2813
Phone (904) 475-2039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001870FLMDGeriatric Medicine (Family Medicine) Physician
APRN11001870FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of Northeast Florida PLLC CurrentSince Jun 1, 2023 Accepting new patients
S S Marathe MD PA Past Accepting new patients

Locations

6428 Beach Blvd
Jacksonville, FL 32216
Phone (904) 399-1623

6428 Beach Blvd
Ste 1A
Jacksonville, FL 32216
Phone (904) 342-0816

9471 Baymeadows Rd
Ste 405
Jacksonville, FL 32256
Phone (904) 252-5025

665 State Road 207
Ste 101B
Saint Augustine, FL 32084
Phone (386) 972-1066

Organizations & group practices 2

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1851851554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15319 SPOTTED STALLION TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322342397",
            "telephone_number": "904-294-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 TOWNSEND BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116132",
            "telephone_number": "904-374-3311",
            "fax_number": "904-374-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "VERONICA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11001870",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "11001870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.