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NEMOURS CHILDRENS HEALTH
NPI 1265585806
Clinic/Center - Multi-Specialty in Jacksonville, FL

Active since January 18, 2007CLIA Certified · 4 labs
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600(904) 697-3927 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Aug 16, 2017, Dec 21, 2015 (3 updates tracked since 2015).

About Nemours Childrens Health NPPES

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

NEMOURS CHILDRENS HEALTH (NPI 1265585806) is a healthcare organization registered as a multi-specialty in Jacksonville, Florida and active in the NPI registry since January 2007. The organization holds 4 active CLIA laboratory certificates and lists Rodney A Mckendree, Vp, Finance, as its authorized official.

NPPES Registry Identity

NPI1265585806
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTHE NEMOURS FOUNDATION
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address10140 Centurion Parkway N, C/o Managed CareJacksonville, FL 32256-0532
Phone(904) 697-3600
Fax(904) 697-3927
Organization SubpartYes
Authorized OfficialRodney A MckendreeVp, Finance · (904) 697-5628
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1265585806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · End-Stage Renal Disease (ESRD) TreatmentTaxonomy 261QE0700X
Also ListedClinic/Center · GeneticsTaxonomy 261QG0250X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedClinic/Center · OncologyTaxonomy 261QX0200X
807 CHILDRENS WAY, Jacksonville, FL 32207
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Other Names 1

Other NameNemours Childrens Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nemours Childrens Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,170

Medicare enrollment records show 1,170 clinicians reassign Medicare billing to Nemours Childrens Health, which bills Medicare for the services they deliver. Of these, 75 practice at this address and 94 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Pediatric Medicine269
Nurse Practitioner144
Anesthesiology82
Diagnostic Radiology70
Cardiovascular Disease (Cardiology)56
Hospitalist45
Critical Care (Intensivists)39
Emergency Medicine39
42 other specialties426

Nearest to this location (20)

See all 1,170
Harry Abram, MD
Neurology
NPI 1427069947
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 390-3780
✔ PECOS✔ Accepts MedicareSame address
Adebisi Ajala, MD
Anesthesiology
NPI 1114005378
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 390-3600
✔ PECOSSame address
Andrea Ali-Panzarella, DO
Pediatric Medicine
NPI 1528364908
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Marielle Amoli, MD
Orthopedic Surgery
NPI 1134447030
807 CHILDRENS WAY NEMOURS CHILDRENS SPECIALTY CARE, JACKSONVILLE
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Kaly Azar, ARNP
Nurse Practitioner
NPI 1437583572
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Allison Bechtel, D.O.
Hematology/Oncology
NPI 1245596303
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3793
✔ PECOSSame address
Walynda Bishop, RN, MSN, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467999672
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ Accepts MedicareSame address
Stephen Bresson, M.D.
Diagnostic Radiology
NPI 1144457789
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOS✔ Accepts MedicareSame address
Chirag Desai, MD
Psychiatry
NPI 1386820876
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Sarah Fernandez, MD
Plastic and Reconstructive Surgery
NPI 1861695843
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Lori Gurien
General Surgery
NPI 1508165762
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Reham Hasan, M.D.
Endocrinology
NPI 1750679973
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Meghan Kessel, A.A.C
Anesthesiology Assistant
NPI 1952730566
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ Accepts MedicareSame address
Daniel Lattin, M.D.
Ophthalmology
NPI 1467712794
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOS✔ Accepts MedicareSame address
Shajitha Melethil, M.B.B.S.
Allergy/Immunology
NPI 1598058166
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Sina Ogholikhan, M.D.
Gastroenterology
NPI 1851684542
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Andrew Stec, MD
Urology
NPI 1548317423
807 CHILDRENS WAY
Jacksonville, FL 32207
(324) 222-1360
✔ PECOSSame address
Katherine Twombley, M.D.
Nephrology
NPI 1356532311
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 697-3600
✔ PECOSSame address
Mark Barraza, MD
Physical Medicine and Rehabilitation
NPI 1346271772
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 390-3600
✔ PECOS✔ Accepts MedicareSame address
Lisa Buckloh, PHD
Clinical Psychologist
NPI 1811003734
807 CHILDRENS WAY
Jacksonville, FL 32207
(904) 390-3600
✔ PECOSSame address
See all 1,170 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2096118

The Nemours Foundation · Jacksonville, FL
Active · expires May 14, 2027
CLIA Number10D2096118
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorNelly Mauras
Laboratory Phone(904) 697-3483
Laboratory LocationThe Nemours Foundation807 Childrens Way, Jacksonville, FL 32207
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2077491

Nemours Childrens Clinic · Jacksonville, FL
Active · expires May 7, 2028
CLIA Number10D2077491
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorDavid A. Schaeffer
Laboratory Phone(904) 697-3804
Laboratory LocationNemours Childrens Clinic807 Childrens Way Pulmonology 8th Fl, Jacksonville, FL 32207
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0909577

Nemours Children's Specialty Care · Jacksonville, FL
Active · expires Nov 18, 2027
CLIA Number10D0909577
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorAndrew A. Stec
Laboratory Phone(904) 697-3747
Laboratory LocationNemours Children's Specialty Care807 Childrens Way Attn Tara Spruill, Jacksonville, FL 32207
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2346538

Nemours Children's Health · Jacksonville, FL
Active · expires Jun 30, 2028
CLIA Number10D2346538
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorKatherine Twombley
Laboratory Phone(904) 697-3600
Laboratory LocationNemours Children's Health841 Prudential Drive Suite 300, Jacksonville, FL 32207
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Nemours Foundation's NPI number?

The NPI number for The Nemours Foundation is 1265585806. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is also known as Nemours Childrens Health.

Where is The Nemours Foundation located?

The Nemours Foundation is located at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is The Nemours Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is The Nemours Foundation enrolled in Medicare?

Yes. The Nemours Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Nemours Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,170 clinicians in 50 Medicare specialties reassign their Medicare billing to The Nemours Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pediatric Medicine (269), Nurse Practitioner (144) and Anesthesiology (82). Of these, 75 practice at this address and 94 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Nemours Foundation hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does The Nemours Foundation accept?

Health plans from AmeriHealth Caritas Next, Capital Health Plan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list The Nemours Foundation 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 The Nemours Foundation was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.