Individual provider Active NPI

Mainelys Chaviano Alfonso, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1992684112
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041984 Issued in FL
Practice address
500 McDuff Ave S
Jacksonville, FL 32254-4250
Phone
(904) 506-4044
NPI assigned
Sep 1, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 11041984 FL Primary

Addresses

Primary practice location

500 McDuff Ave S
Jacksonville, FL 32254-4250

Mailing address

500 McDuff Ave S
Jacksonville, FL 32254-4250
Phone (904) 506-4044

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
I20251113000937 FL Practitioner - Nurse Practitioner 8527559996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12171 SW 268TH St
Homestead, FL 33032-8001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041984FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc Current Accepting new patients
American Care of North Florida, Inc CurrentSince Oct 6, 2025 Accepting new patients
American Care of North Florida, Inc CurrentSince Oct 6, 2025 Accepting new patients
American Care of North Florida, Inc CurrentSince Dec 14, 2025 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

500 McDuff Ave S
Jacksonville, FL 32254
Phone (904) 506-4044

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1992684112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MCDUFF AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322544250",
            "telephone_number": "904-506-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCDUFF AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322544250",
            "telephone_number": "904-506-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIANO ALFONSO",
        "first_name": "MAINELYS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.