Active NPI
Angelica Bocian, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11020320
- Practice address
- 3636 University Blvd S Ste B2
Jacksonville, FL 32216-4223 - Phone
- (844) 808-9096
- NPI assigned
- Jul 19, 2022
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11020320 | FL | Primary |
Addresses
Primary practice location
3636 University Blvd S Ste B2
Jacksonville, FL 32216-4223
Mailing address
4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 236-8784
Other names 1
- Angelica Tyler
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2055 Reyko Rd
Suite 100
Jacksonville, FL 32207-2822
Phone (904) 648-8200
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.43 of 100
- Quality
- 74.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dna Comprehensive Therapy Services, LLC | Current | Accepting new patients | |
| Bonita Springs Retirement Village, Inc. | Current | Accepting new patients |
Locations
4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916
3636 University Blvd S
Ste B2
Jacksonville, FL 32216
Phone (844) 808-9096
2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200
3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555
1965 Capital Cir NE
Ste 102
Tallahassee, FL 32308
Phone (850) 671-4600
Interoperability endpoints
- angelica.bocian.1@13142.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
-
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1992430409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 METRO PKWY STE 205",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169416",
"telephone_number": "239-236-8784",
"fax_number": "239-790-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 UNIVERSITY BLVD S STE B2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164223",
"telephone_number": "844-808-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCIAN",
"first_name": "ANGELICA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11020320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELICA",
"last_name": "TYLER",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 19, 2022; 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.