Individual provider Active NPI

Erika Favors Nisbett, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1891250486
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP11000506 Issued in FL
Practice address
13927 Shipwreck Cir N
Jacksonville, FL 32224-1121
Phone
(904) 570-9404
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 ARNP11000506 FL Primary

Addresses

Primary practice location

13927 Shipwreck Cir N
Jacksonville, FL 32224-1121

Mailing address

13927 Shipwreck Cir N
Jacksonville, FL 32224-1121
Phone (904) 570-9404

Other identifiers 1

IdentifierTypeStateIssuer
ARNP11000506OtherFLSTATE LICENSE

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
I20190326002302 FL Practitioner - Nurse Practitioner 7214277417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Choice Operating Company LLCGroup PAC ID 3779991542, 60 clinicians

Practice addresses (Care Compare)

4655 Salisbury Rd
Suite 220
Jacksonville, FL 32256-0959
Phone (904) 570-9404

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Orange Park, FL, CCN 109771
  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Enhabit Home Health Home health agency, Jacksonville, FL, CCN 108148
  • HCA Florida Healthcare at Home Home health agency, Jacksonville, FL, CCN 107207
  • Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344
  • Community Hospice of Northeast Florida Inc Hospice, Jacksonville, FL, CCN 101500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP11000506FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Choice Operating Company LLC CurrentSince Apr 19, 2021 Accepting new patients

Locations

4655 Salisbury Rd
Ste 220
Jacksonville, FL 32256
Phone (904) 570-9404

4319 Salisbury Rd
Ste 103
Jacksonville, FL 32216
Phone (904) 570-9404

4655 Salisbury Rd
Ste 110
Jacksonville, FL 32256
Phone (904) 570-9404

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1891250486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13927 SHIPWRECK CIR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241121",
            "telephone_number": "904-570-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13927 SHIPWRECK CIR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241121",
            "telephone_number": "904-570-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISBETT",
        "first_name": "ERIKA",
        "middle_name": "FAVORS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP11000506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ARNP11000506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.