Individual provider Active NPI

Janel Irene Coffing, ARNP

  • Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1902356314
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9255523 Issued in FL
Practice address
1890 Lpga Blvd Ste 130
Daytona Beach, FL 32117-7131
Phone
(386) 274-2212
Fax
(386) 274-1508
NPI assigned
Oct 10, 2016
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 ARNP 9255523 FL Primary

Addresses

Primary practice location

1890 Lpga Blvd Ste 130
Daytona Beach, FL 32117-7131

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4600

Other practice location 1

1688 W Granada Blvd
Ormond Beach, FL 32174-1851
Phone (386) 425-4414

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
I20231120003560 FL Practitioner - Nurse Practitioner 8729365366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael D. Kohen MD PAGroup PAC ID 1557395670, 3 clinicians

Practice addresses (Care Compare)

709 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Phone (386) 252-1632

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9255523FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kohen, MD, PA CurrentSince Feb 24, 2025 Accepting new patients
Primecare at Twin Lakes LLC CurrentSince Nov 15, 2023 Accepting new patients

Locations

1890 Lpga Blvd
Ste 130
Daytona Beach, FL 32117
Phone (386) 274-2212

709 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 252-1632

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.

Hospital & facility affiliations 5

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1902356314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-4600",
            "fax_number": "904-697-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177131",
            "telephone_number": "386-274-2212",
            "fax_number": "386-274-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1688 W Granada Blvd",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321741851",
            "country_code": "US",
            "telephone_number": "386-425-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFING",
        "first_name": "JANEL",
        "middle_name": "IRENE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9255523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.