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DANIELE KATHALEEN DUMAS FNP
NPI 1285201038
Nurse Practitioner - Family in Jacksonville, FL

Active since June 09, 2021PECOS Enrolled
88.68/100
CMS Quality Rating
7628 103RD ST STE 10, JACKSONVILLE, FL 32210(904) 869-2595(855) 576-4109 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2025, Jun 9, 2021 (2 updates tracked since 2021).

About Daniele Kathaleen Dumas Fnp NPPES

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

DANIELE KATHALEEN DUMAS FNP (NPI 1285201038) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11013575) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1285201038
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELE KATHALEEN DUMASCredential: FNP
Location Address7628 103RD ST STE 10Jacksonville, FL 32210-8719
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151
Phone(904) 869-2595
Fax(855) 576-4109
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1285201038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11013575
7628 103RD ST STE 10, Jacksonville, FL 32210
Open in Google Maps ↗

Secondary Practice Location 1

Location 11075 Oakleaf Plantation PkwyOrange Park, FL 32065-3624 · Phone (904) 282-4565 · Fax (904) 282-4335

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniele Kathaleen Dumas Fnp 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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
557 services159 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
390 services131 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
174 services85 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
95 services92 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
27 services17 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32210 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.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.31
Promoting Interoperability66.75
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. JARIUS LAMON R. ANDERSON-BAYLOR
Family Medicine
7628 103RD ST STE 10
JACKSONVILLE, FL 32210
Duval County (904) 869-2595

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 Daniele Dumas's NPI number?

The NPI number for Daniele Dumas is 1285201038. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Daniele Dumas located?

Daniele Dumas practices at 7628 103rd St Ste 10, Jacksonville, FL 32210. The listed phone number is (904) 869-2595.

What is Daniele Dumas's specialty?

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

Is Daniele Dumas enrolled in Medicare?

Yes. Daniele Dumas is registered in the Medicare PECOS enrollment system.

What insurance does Daniele Dumas accept?

Health plans from Oscar Health Maintenance Organization of Florida list Daniele Dumas 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 Daniele Dumas was last updated on June 6, 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.