MR. JEFFREY LUDAN VONGJESDA M.S., APRN, FNP-C
NPI 1003286824
Nurse Practitioner - Family in Jacksonville, FL

Active since October 06, 2015PECOS Enrolled
3728 PHILIPS HWY STE 34, JACKSONVILLE, FL 32207(904) 399-2766(904) 549-8300 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, May 16, 2024, Jul 11, 2019 (3 updates tracked since 2019).

About Mr. Jeffrey Ludan Vongjesda M.s., Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY LUDAN VONGJESDA M.S., APRN, FNP-C (NPI 1003286824) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9278630) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003286824
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JEFFREY LUDAN VONGJESDACredential: M.S., APRN, FNP-C
Location Address3728 PHILIPS HWY STE 34Jacksonville, FL 32207-6840
Mailing Address3728 Philips Hwy Ste 34Jacksonville, FL 32207-6840 · (904) 399-2766 · Fax (904) 549-8300
Fax(904) 549-8300
Sole ProprietorNo
Enumeration DateOctober 6, 2015
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
NPI 1003286824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in FL · ARNP9278630 Licensed in WA · 60962308 Licensed in CA · 95007934 Licensed in NV · 817161 Licensed in FL · 9278630
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN9278630 (FL)
3728 PHILIPS HWY STE 34, Jacksonville, FL 32207

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jeffrey Ludan Vongjesda M.s., Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
284 services193 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
61 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3728 PHILIPS HWY STE 34
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Vongjesda's NPI number?

The NPI number for Jeffrey Vongjesda is 1003286824. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Jeffrey Vongjesda located?

Jeffrey Vongjesda practices at 3728 Philips Hwy Ste 34, Jacksonville, FL 32207. The listed phone number is (904) 399-2766.

What is Jeffrey Vongjesda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffrey Vongjesda enrolled in Medicare?

Yes. Jeffrey Vongjesda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Vongjesda was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.