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PRERNA BANSAL MD
NPI 1376993386
Pediatrics - Pediatric Cardiology in Jacksonville, FL

Active since June 21, 2016PECOS Enrolled
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207(904) 202-8550(904) 393-7808 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2023, Jun 21, 2016 (2 updates tracked since 2016).

About Prerna Bansal Md NPPES

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

PRERNA BANSAL MD (NPI 1376993386) is an individual pediatric cardiology provider in Jacksonville, Florida, licensed in Florida (ME158327) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376993386
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NamePRERNA BANSALCredential: MD
Location Address841 PRUDENTIAL DR STE 280Jacksonville, FL 32207-8350
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100 · Fax (904) 697-5102
Phone(904) 202-8550
Fax(904) 393-7808
Sole ProprietorYes
Enumeration DateJune 21, 2016
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1376993386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in FL · ME158327
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
841 PRUDENTIAL DR STE 280, Jacksonville, FL 32207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prerna Bansal Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Prerna Bansal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
0.2 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

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

Other Providers at the Same Location NPPES 20

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

SARA E MENDOZA CRESPO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8290
UMAKUMARAN P PONNIAH MD
Pediatrics (Pediatric Cardiology)
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8550
MS. PAMELA FRAN STANGER APRN
Nurse Practitioner
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8550
JILLIAN MARIE LEARY APRN
Nurse Practitioner
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8550
MS. SHARON PASS REDFEARN ARNP
Nurse Practitioner
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8550
DR. KHUSHBOO NILESH PARIKH MD
Pediatrics (Pediatric Cardiology)
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8550
JENNIFER VANDA O'NEAL APRN
Nurse Practitioner (Pediatrics)
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8290
JUDY R ASHOURI MD
Pediatrics (Pediatric Cardiology)
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 32207
Duval County (904) 202-8550

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 Prerna Bansal's NPI number?

The NPI number for Prerna Bansal is 1376993386. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Prerna Bansal located?

Prerna Bansal practices at 841 Prudential Dr Ste 280, Jacksonville, FL 32207. The listed phone number is (904) 202-8550.

What is Prerna Bansal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Prerna Bansal enrolled in Medicare?

Yes. Prerna Bansal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prerna Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prerna Bansal reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The 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 Prerna Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prerna Bansal accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Prerna Bansal 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 Prerna Bansal was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.