Individual provider Active NPI

Debbie Gloria, ARNP

  • Adult Health Nurse Practitioner
  • Fernandina Beach, FL
National Provider Identifier
1902819931
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9204692 Issued in FL
Practice address
1545 S 14TH St
Fernandina Beach, FL 32034-3049
Phone
(904) 261-7500
Fax
(904) 261-2166
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9204692 FL Primary

Addresses

Primary practice location

1545 S 14TH St
Fernandina Beach, FL 32034-3049

Mailing address

4727 Sunbeam Rd
Suite 101
Jacksonville, FL 32257-6187
Phone (904) 880-0622

Other names 1

  • Debbie R. Gloria Former name

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
I20050616000243 FL Practitioner - Nurse Practitioner 7719921188 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
Group practices
Beaches Dermatology, P.a.Group PAC ID 9133190549, 15 clinicians

Practice addresses (Care Compare)

103 -B Solana Rd
Ponte Vedra Beach, FL 32082-2231

103 Solana Rd
Ponte Vedra Beach, FL 32082-2231
Phone (904) 273-2717

Hospital & facility affiliations

  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

Merit-based Incentive Payment System (MIPS)

Final score
90.79 of 100Reported as group
Quality
84.04
Promoting interoperability
100
Improvement activities
40
Cost
85.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9204692FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaches Dermatology, P.a. CurrentSince Jun 1, 2020 Accepting new patients
Southside Dermatology, P.a. Past Accepting new patients

Locations

1545 S 14th St
Fernandina Beach, FL 32034
Phone (904) 202-4243

13111 Atlantic Blvd
Unit 4
Jacksonville, FL 32225
Phone (904) 221-3100

103 Solana Rd
#B
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

103 Solana Rd
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

Interoperability endpoints

  • Direct secure messaging: dgloria@beachesderm.emadirect.md

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.

Hospital & facility affiliations 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1902819931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 SUNBEAM RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576187",
            "telephone_number": "904-880-0622",
            "fax_number": "904-880-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343049",
            "telephone_number": "904-261-7500",
            "fax_number": "904-261-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLORIA",
        "first_name": "DEBBIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9204692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "GLORIA",
            "middle_name": "R.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.