Individual provider Active NPI

Jessica Andrea Filosa, FNP, CNM

  • Advanced Practice Midwife
  • Orange Park, FL
National Provider Identifier
1922509504
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11003279 Issued in FL
Practice address
1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200
Phone
(904) 264-1628
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95079119 CA
Family Nurse Practitioner 363LF0000X APRN11003279 FL
Primary Care Nurse Practitioner 363LP2300X APRN11003279 FL
Advanced Practice Midwife 367A00000X APRN11003279 FL Primary

Addresses

Primary practice location

1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200

Mailing address

1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200
Phone (904) 264-1628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191120000550 FL Practitioner - Nurse Practitioner 2668728569 Reassigns benefits to 1 organization
I20231215001584 FL Practitioner - Certified Nurse Midwife (CNM) 2668728569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95079119CAMDRegistered Nurse
APRN11003279FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare PA Past Accepting new patients
Florida Department of Health PastSince Oct 1, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jessica.filosa.1@25189.direct.athenahealth.com

Organizations & group practices 3

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1922509504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 KINGSLEY AVE STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739200",
            "telephone_number": "904-264-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 KINGSLEY AVE STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739200",
            "telephone_number": "904-264-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILOSA",
        "first_name": "JESSICA",
        "middle_name": "ANDREA",
        "credential": "FNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95079119",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003279",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11003279",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11003279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.