Active NPI
Telicia Fisher, ARNP
- Primary Care Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 9235501
- Practice address
- 11634 Brian Lakes Dr
Jacksonville, FL 32221-2855 - Phone
- (904) 534-4279
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1177891 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 321395 | AZ | |
| Primary Care Nurse Practitioner | 363LP2300X | GAA-NP003620 | GA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP61647479 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | 9235501 | FL | Primary |
Addresses
Primary practice location
11634 Brian Lakes Dr
Jacksonville, FL 32221-2855
Mailing address
11634 Brian Lakes Dr
Jacksonville, FL 32221-2855
Phone (904) 534-4279
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
Enrollment records 1
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
Practice addresses (Care Compare)
761 Edgewood Ave N
Jacksonville, FL 32254-3013
Phone (904) 633-0500
Hospital & facility affiliations
- Shands Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321395 | AZ | MD | Primary Care Nurse Practitioner |
| 9235501 | FL | MD | Primary Care Nurse Practitioner |
| GAA-NP003620 | GA | MD | Primary Care Nurse Practitioner |
| 1177891 | TX | MD | Primary Care Nurse Practitioner |
| AP61647479 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rmed LLC | Current | Accepting new patients | |
| Midiwell | Current | Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Devoted Medical Group Professional Corporation | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Care Talk Health FL PA | Current | Accepting new patients | |
| Rmed LLC | Current | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
761 Edgewood Ave N
Jacksonville, FL 32254
Phone (904) 389-0041
880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612
8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500
Interoperability endpoints
- tfisher140191@direct.shands.ufl.edu
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1508815358
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
FL
-
- Primary Care Clinic/Center
- Orange Park, FL
- NPI 1578371860
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1205476793
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1235398983
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1972087682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11634 BRIAN LAKES DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322212855",
"telephone_number": "904-534-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11634 BRIAN LAKES DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322212855",
"telephone_number": "904-534-4279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "TELICIA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1177891",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "321395",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "GAA-NP003620",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP61647479",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "9235501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.