Individual provider Active NPI

Quawendella Baejuhne Skinner, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1932534823
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011586 Issued in FL
Practice address
1734 Kingsley Ave Ste 7
Orange Park, FL 32073-4418
Phone
(904) 474-9766
Fax
(877) 847-8552
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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 11011586 FL Primary

Addresses

Primary practice location

1734 Kingsley Ave Ste 7
Orange Park, FL 32073-4418

Mailing address

1734 Kingsley Ave Ste 7
Orange Park, FL 32073-4418
Phone (904) 474-9766

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
I20220607000885 FL Practitioner - Nurse Practitioner 1951789700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8613 Old Kings Rd S
Suite 602
Jacksonville, FL 32217-4863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9258252FLMDRegistered Nurse
11011586FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Specialty Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
B-Leeve Primary Care Family CurrentSince Nov 21, 2021 Accepting new patients
Jacksonville Hospitalists PA CurrentSince Sep 1, 2024 Accepting new patients
Reynaldo G Fermo MD PA Past Accepting new patients

Locations

8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390

9570 Regency Square Blvd
Ste 403
Jacksonville, FL 32225
Phone (904) 239-1343

Organizations & group practices 4

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1932534823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 KINGSLEY AVE STE 7",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734418",
            "telephone_number": "904-474-9766",
            "fax_number": "877-847-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 KINGSLEY AVE STE 7",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734418",
            "telephone_number": "904-474-9766",
            "fax_number": "877-847-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "QUAWENDELLA",
        "middle_name": "BAEJUHNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.