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ANTHONY ATWOOD PREMO APRN, AGACNP-BC
NPI 1033840806
Nurse Practitioner - Adult Health in Jacksonville, FL

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
14785 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL 32258(904) 456-0017(904) 456-0018 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Atwood Premo Aprn, Agacnp-bc NPPES

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

ANTHONY ATWOOD PREMO APRN, AGACNP-BC (NPI 1033840806) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (APRN11020380) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033840806
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameANTHONY ATWOOD PREMOCredential: APRN, AGACNP-BC
Location Address14785 OLD SAINT AUGUSTINE RD STE 100Jacksonville, FL 32258-7407
Mailing Address14785 Old Saint Augustine Rd Ste 100Jacksonville, FL 32258-7407 · (904) 456-0017 · Fax (904) 456-0018
Phone(904) 456-0017
Fax(904) 456-0018
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
Last NPPES UpdateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1033840806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11020380
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11020380 (FL)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11020380 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN11020380 (FL)
14785 OLD SAINT AUGUSTINE RD STE 100, Jacksonville, FL 32258
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Atwood Premo Aprn, Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234519489
PECOS Enrollment IDI20220705003016
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 3

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.
55 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 3

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

BROOKE E WOODALL OTR/L
Occupational Therapist
14785 OLD SAINT AUGUSTINE RD STE 100
JACKSONVILLE, FL 32258
Duval County (904) 292-1808
JON F. GRAHAM MD
Neurological Surgery
14785 OLD SAINT AUGUSTINE RD STE 100
JACKSONVILLE, FL 32258
Duval County (904) 456-0017
INTEGRITY SPINE AND ORTHOPEDICS LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
14785 OLD SAINT AUGUSTINE RD STE 100
JACKSONVILLE, FL 32258
Duval County (904) 456-0017

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 Anthony Premo's NPI number?

The NPI number for Anthony Premo is 1033840806. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Anthony Premo located?

Anthony Premo practices at 14785 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258. The listed phone number is (904) 456-0017.

What is Anthony Premo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Anthony Premo enrolled in Medicare?

Yes. Anthony Premo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anthony Premo was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.