Individual provider Active NPI

Suzanne J Leffew, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1982063244
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9257764 Issued in FL
Practice address
7603 Lem Turner Rd
Jacksonville, FL 32208-3252
Phone
(904) 329-3336
Fax
(904) 517-8919
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 APRN9257764 FL Primary

Addresses

Primary practice location

7603 Lem Turner Rd
Jacksonville, FL 32208-3252

Mailing address

PO Box 550789
Jacksonville, FL 32255-0789
Phone (904) 329-3336

Other practice location 1

1411 S 14th St Ste A
Fernandina Beach, FL 32034
Phone (904) 329-3336

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
I20161121000954 FL Practitioner - Nurse Practitioner 4082993746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Abdalla IncGroup PAC ID 2264717545, 2 clinicians

Practice addresses (Care Compare)

1411 S 14TH St
Suite a
Fernandina Beach, FL 32034-3092
Phone (904) 329-3336

7603 Lem Turner Rd
Jacksonville, FL 32208-3252
Phone (904) 329-3336

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9257764FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Abdalla, Inc CurrentSince May 4, 2024 Accepting new patients
Ira Harmon MD PA Current Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

1411 S 14th St
Ste A
Fernandina Beach, FL 32034
Phone (904) 304-9068

7603 Lem Turner Rd
Jacksonville, FL 32208
Phone (904) 329-3336

Interoperability endpoints

  • Direct secure messaging: sleffew74820@direct.shands.ufl.edu

Organizations & group practices 3

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 4

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": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1982063244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550789",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322550789",
            "telephone_number": "904-329-3336",
            "fax_number": "904-517-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083252",
            "telephone_number": "904-329-3336",
            "fax_number": "904-517-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 S 14th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "32034",
            "country_code": "US",
            "telephone_number": "904-329-3336",
            "fax_number": "904-517-8919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEFFEW",
        "first_name": "SUZANNE",
        "middle_name": "J",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9257764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.