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ETLEVA NASI M.D.
NPI 1386082667
Family Medicine in Jacksonville, FL

Active since June 10, 2013PECOS Enrolled
11701-32 SAN JOSE BLVD, #103, JACKSONVILLE, FL 32223(904) 262-9075(904) 262-9076 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Etleva Nasi M.d. NPPES

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

ETLEVA NASI M.D. (NPI 1386082667) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME116321) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386082667
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameETLEVA NASICredential: M.D.
Location Address11701-32 SAN JOSE BLVD, #103Jacksonville, FL 32223
Mailing Address11701-32 San Jose Blvd, #103Jacksonville, FL 32223 · (904) 262-9075 · Fax (904) 262-9076
Phone(904) 262-9075
Fax(904) 262-9076
Sole ProprietorYes
Enumeration DateJune 10, 2013
Last NPPES UpdateDecember 5, 2013
✔ NPI 1386082667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME116321
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11701-32 SAN JOSE BLVD, Jacksonville, FL 32223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Etleva Nasi M.d. 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.

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 4

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

ROBERT ALAN BAKER MD
Dermatology
11701-32 SAN JOSE BLVD, SUITE 216
JACKSONVILLE, FL 32223
Duval County (904) 880-5888
GHULAM QUADIR KHAN MD
Obstetrics & Gynecology
11701-32 SAN JOSE BLVD, SUITE 114
JACKSONVILLE, FL 32223
Duval County (904) 288-6910
DR. BRIAN EDSEL FLORO D.M.D.
Dentist (General Practice)
11701-32 SAN JOSE BLVD, SUITE 215
JACKSONVILLE, FL 32223
Duval County (904) 268-0830
BRENT THOMAS MARSHALL PA-C
Physician Assistant
11701-32 SAN JOSE BLVD, SUITE 103
JACKSONVILLE, FL 32223
Duval County (904) 880-0911

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 Etleva Nasi's NPI number?

The NPI number for Etleva Nasi is 1386082667. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Etleva Nasi located?

Etleva Nasi practices at 11701-32 San Jose Blvd #103, Jacksonville, FL 32223. The listed phone number is (904) 262-9075.

What is Etleva Nasi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Etleva Nasi enrolled in Medicare?

Yes. Etleva Nasi is registered in the Medicare PECOS enrollment system.

What insurance does Etleva Nasi accept?

Health plans from AvMed list Etleva Nasi 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 Etleva Nasi was last updated on December 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.