Individual provider Active NPI

Rosa Daisy Maytin, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1972068708
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001051 Issued in FL
Practice address
1100 Cesery Blvd
Jacksonville, FL 32211-5674
Phone
(904) 551-5884
NPI assigned
Feb 6, 2019
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 APRN11001051 FL Primary

Addresses

Primary practice location

1100 Cesery Blvd
Jacksonville, FL 32211-5674

Mailing address

12171 SW 268TH St
Homestead, FL 33032-8001
Phone (305) 278-0200

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
I20190411001984 FL Practitioner - Nurse Practitioner 7416298872 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic of Jacksonville LLCGroup PAC ID 1052409307, 56 clinicians

Practice addresses (Care Compare)

1021 Cesery Blvd
Jacksonville, FL 32211-5609
Phone (615) 600-4074

12303 San Jose Blvd
Jacksonville, FL 32223-2640
Phone (615) 600-4074

1708 Blanding Blvd
Middleburg, FL 32068-3836
Phone (615) 600-4074

2140 Kingsley Ave
Orange Park, FL 32073-5180
Phone (615) 600-4074

2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337

410 Atlantic Blvd
Neptune Beach, FL 32266-4022
Phone (615) 600-4074

9680 Argyle Forest Blvd
Suite 34
Jacksonville, FL 32222-2847
Phone (904) 569-7771

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Mental Wellness LLC CurrentSince Apr 30, 2025 Accepting new patients
Maytin Integrated Healthcare, Inc Current Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Aug 19, 2025 Accepting new patients
Hni Medical Services of Florida, LLC CurrentSince Mar 9, 2019 Accepting new patients
Universal Kidney Care LLC CurrentSince Sep 1, 2019 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 Accepting new patients
American Care of North Florida, Inc PastSince Jan 1, 2021 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

10175 Fortune Pkwy
Unit 302
Jacksonville, FL 32256
Phone (904) 491-2160

10752 Deerwood Park Blvd
Ste 100
Jacksonville, FL 32256
Phone (407) 953-9734

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

4190 Belfort Rd
Ste 130
Jacksonville, FL 32216
Phone (904) 252-7941

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

7500 Rialto Blvd
Ste 1140
Austin, TX 78735
Phone (312) 385-0441

Interoperability endpoints

  • Direct secure messaging: rosa.maytin.1@19860.direct.athenahealth.com
  • Direct secure messaging: rosa.maytin.1@29383.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1972068708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "305-278-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115674",
            "telephone_number": "904-551-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYTIN",
        "first_name": "ROSA",
        "middle_name": "DAISY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.