Individual provider Active NPI

Meredith Kathleen Jones, DNP, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1982297230
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11008672 Issued in FL
Practice address
Jacksonville Cardiovascular Center
6444 Beach Blvd
Jacksonville, FL 32216
Phone
(904) 805-9600
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11008672 FL Primary

Addresses

Primary practice location

Jacksonville Cardiovascular Center
6444 Beach Blvd
Jacksonville, FL 32216

Mailing address

1875 Beachside CT
Atlantic Beach, FL 32233-5954
Phone (303) 668-3878

Other names 1

  • Meredith Kelly Former name

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
I20210527000769 FL Practitioner - Nurse Practitioner 0446659213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

2300 Park Ave
Orange Park, FL 32073-5572

Hospital & facility affiliations

  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008672FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince May 13, 2024 Accepting new patients
Jacksonville Cardiovascular Center PL CurrentSince Mar 1, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince May 13, 2024 Accepting new patients

Locations

2 Shircliff Way
Ste 400
Jacksonville, FL 32204
Phone (904) 308-4000

4131 University Blvd S
Ste 17
Jacksonville, FL 32216
Phone (904) 722-1515

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

6444 Beach Blvd
Jacksonville, FL 32216
Phone (904) 580-8126

2300 Park Ave
Ste 101B
Orange Park, FL 32073
Phone (904) 249-4888

Interoperability endpoints

  • Direct secure messaging: meredith.jones.1@8967.direct.athenahealth.com

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 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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1982297230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 BEACHSIDE CT",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335954",
            "telephone_number": "303-668-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JACKSONVILLE CARDIOVASCULAR CENTER",
            "address_2": "6444 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-805-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MEREDITH",
        "middle_name": "KATHLEEN",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11008672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.