Individual provider Active NPI

Theresa Marie Hershfield, NP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1881609733
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9382198 Issued in FL
Practice address
4888 Town Center Pkwy Unit 107
Jacksonville, FL 32246-8315
Phone
(904) 800-1735
Fax
(904) 641-6297
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9382198 FL Primary

Addresses

Primary practice location

4888 Town Center Pkwy Unit 107
Jacksonville, FL 32246-8315

Mailing address

4888 Town Center Pkwy Unit 107
Jacksonville, FL 32246-8315
Phone (904) 800-1735

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
I20150910001122 FL Practitioner - Nurse Practitioner 0345370813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

Practice addresses (Care Compare)

4888 Town Ctr Pkwy
Unit 107
Jacksonville, FL 32246-8315
Phone (904) 800-1735

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9382198FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Carenow Urgent Care, LLC CurrentSince Feb 20, 2023 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Sep 5, 2021 Accepting new patients

Locations

4888 Town Center Pkwy
Unit 107
Jacksonville, FL 32246
Phone (904) 800-1735

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1881609733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 TOWN CENTER PKWY UNIT 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468315",
            "telephone_number": "904-800-1735",
            "fax_number": "904-641-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 TOWN CENTER PKWY UNIT 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468315",
            "telephone_number": "904-800-1735",
            "fax_number": "904-641-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHFIELD",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9382198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.