Individual provider Active NPI

Telicia Fisher, ARNP

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1972087682
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9235501 Issued in FL
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

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200511001850 FL Practitioner - Nurse Practitioner 9739510587 Reassigns benefits to 5 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
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

761 Edgewood Ave N
Jacksonville, FL 32254-3013
Phone (904) 633-0500

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
321395AZMDPrimary Care Nurse Practitioner
9235501FLMDPrimary Care Nurse Practitioner
GAA-NP003620GAMDPrimary Care Nurse Practitioner
1177891TXMDPrimary Care Nurse Practitioner
AP61647479WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Feb 1, 2025 Accepting new patients
Midiwell Current Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Oct 2, 2025 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 18, 2020 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Jan 7, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 18, 2020 Accepting new patients
Care Talk Health FL PA CurrentSince Jul 1, 2025 Accepting new patients
Rmed LLC CurrentSince Feb 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.