Active NPI
Dena Alexander, NP
- Gerontology Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 9169772
- Practice address
- 12015 Stacy Scott CT
Jacksonville, FL 32223-0780 - Phone
- (904) 343-9364
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 9169772 | FL | Primary |
Addresses
Primary practice location
12015 Stacy Scott CT
Jacksonville, FL 32223-0780
Mailing address
12015 Stacy Scott CT
Jacksonville, FL 32223-0780
Phone (904) 343-9364
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.1 of 100
- Quality
- 35.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9169772 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Vision LLC | Current | Accepting new patients | |
| American Care of North Florida, Inc | Current | Accepting new patients | |
| American Care of North Florida, Inc | Current | Accepting new patients |
Locations
12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020
1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204
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.
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- NPI 1144651373
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- General Practice Physician
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- NPI 1053679787
-
- General Practice Physician
- Winter Haven, FL
- NPI 1689934648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1982159190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 STACY SCOTT CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322230780",
"telephone_number": "904-343-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12015 STACY SCOTT CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322230780",
"telephone_number": "904-343-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "DENA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "9169772",
"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 Aug 17, 2016; 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.