Individual provider Active NPI

Milena Jguenti, MD

  • Family Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1932147402
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME132028 Issued in FL
Practice address
28 Old Kings Rd N Unit a
Palm Coast, FL 32137-8291
Phone
(904) 826-3469
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-102337 IL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME132028 FL Primary

Addresses

Primary practice location

28 Old Kings Rd N Unit a
Palm Coast, FL 32137-8291

Mailing address

130 Health Park Blvd
St Augustine, FL 32086-5776
Phone (904) 826-3469

Other practice location 1

130 Health Park Blvd
St Augustine, FL 32086-5776
Phone (904) 826-3469

Other identifiers 2

IdentifierTypeStateIssuer
021535100MedicaidFL
03-6102337MedicaidIL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002750 FL Practitioner - Internal Medicine 9335154327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Flagler Family Medicine P aGroup PAC ID 9335114347, 13 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

28 Old Kings Rd N
Unit a
Palm Coast, FL 32137-8291
Phone (904) 826-3469

Hospital & facility affiliations

  • Confident Care of Florida Corp Home health agency, Palm Coast, FL, CCN 108222
  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Adventhealth Home Health Home health agency, Ormond Beach, FL, CCN 107408
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Lilac at Bayview, the Nursing home, Saint Augustine, FL, CCN 105816

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132028FLMDFamily Medicine Physician
036-102337ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Family Medicine P a Multi-Specialty CurrentSince Sep 1, 2017 Accepting new patients
Flagler Family Nursing Home Care LLC Multi-Specialty CurrentSince May 1, 2021 Accepting new patients
Flagler Family Medicine PA Multi-Specialty CurrentSince Sep 1, 2017 Accepting new patients
Aggeus Healthcare, P.C. Multi-Specialty Past Accepting new patients
Illinois Medical Group SC Multi-Specialty Past Accepting new patients

Locations

28 Old Kings Rd N
Unit A
Palm Coast, FL 32137
Phone (904) 826-3469

33 Old Kings Rd N
Ste 3
Palm Coast, FL 32137
Phone (386) 445-1100

130 Health Park Blvd
St Augustine, FL 32086
Phone (904) 826-3469

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADBCAA
  • Direct secure messaging: milena.jguenti@flaglerffm.eclinicaldirectplus.com
  • Direct secure messaging: mjguenti741048@direct.shands.ufl.edu

Organizations & group practices 5

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 10

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932147402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865776",
            "telephone_number": "904-826-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 OLD KINGS RD N UNIT A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378291",
            "telephone_number": "904-826-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865776",
            "country_code": "US",
            "telephone_number": "904-826-3469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JGUENTI",
        "first_name": "MILENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-102337",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME132028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021535100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03-6102337",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.