MR. BRUCE BRIAN BEARDSLEY JR. ARNP
NPI 1184071730
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment
12058 SAN JOSE BLVD, STE 1003, JACKSONVILLE, FL 32223(904) 321-9875(904) 321-9890 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Apr 21, 2021 (2 updates tracked since 2021).

About Mr. Bruce Brian Beardsley Jr. Arnp NPPES

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

MR. BRUCE BRIAN BEARDSLEY JR. ARNP (NPI 1184071730) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (ARNP9273193) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of University Of South Alabama College Of Medicine (2015).

NPPES Registry Identity

NPI1184071730
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BRUCE BRIAN BEARDSLEY JR.Credential: ARNP
Location Address12058 SAN JOSE BLVD, STE 1003Jacksonville, FL 32223-8667
Mailing Address5623 Ortega Farms BlvdJacksonville, FL 32244-2335 · (904) 994-2706
Fax(904) 321-9890
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2015
Enumeration DateMay 24, 2016
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1184071730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · ARNP9273193
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9273193 (FL)
12058 SAN JOSE BLVD, Jacksonville, FL 32223

Secondary Practice Location 1

Location 15623 ORTEGA FARMS BLVDJACKSONVILLE, FL 32244-2335 · Phone (904) 994-2706

Other Identifiers 1

Medicaid108369900FL

Accepted Insurance

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

Mr. Bruce Brian Beardsley Jr. Arnp 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 ID6800296583
PECOS Enrollment IDI20210617001335
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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 9

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
12058 SAN JOSE BLVD, SUITE 903
JACKSONVILLE, FL 32223
Dentist
12058 SAN JOSE BLVD, #102
JACKSONVILLE, FL 32223
Social Worker (Clinical)
12058 SAN JOSE BLVD, SUITE 703
JACKSONVILLE, FL 32223
Social Worker (Clinical)
12058 SAN JOSE BLVD, SUITE 703
JACKSONVILLE, FL 32223
Counselor (Mental Health)
12058 SAN JOSE BLVD, SUITE 104
JACKSONVILLE, FL 32223
Social Worker (Clinical)
12058 SAN JOSE BLVD, STE 703
JACKSONVILLE, FL 32223
Psychiatry & Neurology (Psychiatry)
12058 SAN JOSE BLVD, SUITE 903
JACKSONVILLE, FL 32223
Nurse Practitioner (Adult Health)
12058 SAN JOSE BLVD, SUITE1003
JACKSONVILLE, FL 32223

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 Bruce Beardsley's NPI number?

The NPI number for Bruce Beardsley is 1184071730. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Bruce Beardsley located?

Bruce Beardsley practices at 12058 San Jose Blvd Ste 1003, Jacksonville, FL 32223. The listed phone number is (904) 321-9875.

What is Bruce Beardsley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bruce Beardsley enrolled in Medicare?

Yes. Bruce Beardsley 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.

What insurance does Bruce Beardsley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Bruce Beardsley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Beardsley was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.