JEREMY RON ALQUIZAR
NPI 1104777598
Nurse Practitioner - Primary Care in St Augustine, FL
About Jeremy Ron Alquizar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY RON ALQUIZAR (NPI 1104777598) is an individual primary care provider in St Augustine, Florida, licensed in Florida (APRN11043624) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Jeremy Ron Alquizar 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST AUGUSTINE, FL 32084
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 Jeremy Alquizar's NPI number?
The NPI number for Jeremy Alquizar is 1104777598. It was assigned to this individual provider in the NPPES registry on February 3, 2026.
Where is Jeremy Alquizar located?
Jeremy Alquizar practices at 1851 Old Moultrie Rd, St Augustine, FL 32084. The listed phone number is (904) 824-8088.
What is Jeremy Alquizar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jeremy Alquizar enrolled in Medicare?
Yes. Jeremy Alquizar 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 Jeremy Alquizar was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jeremy Ron Alquizar · NPI 1104777598
Primary Care physician in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since February 3, 2026.
## Identity
- **NPI:** 1104777598 (Entity type: Individual)
- **Enumerated:** February 3, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** APRN11043624 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1851 OLD MOULTRIE RD, St Augustine, FL 32084-4168
- **Phone:** (904) 824-8088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104777598) · Data from the CMS NPPES public registry.