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N E FLORIDA INTERNAL MEDICINE PA
NPI 1487724993
Internal Medicine in Jacksonville, FL

Active since November 09, 2006
2065 HERSCHEL ST, JACKSONVILLE, FL 32204(904) 387-4050(904) 387-4860 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About N E Florida Internal Medicine Pa NPPES

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

N E FLORIDA INTERNAL MEDICINE PA (NPI 1487724993) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since November 2006. The organization lists Elyssa Blissenbach, President, as its authorized official.

NPPES Registry Identity

NPI1487724993
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameN E FLORIDA INTERNAL MEDICINE PA
Location Address2065 HERSCHEL STJacksonville, FL 32204-3817
Mailing Address2065 Herschel StreetJacksonville, FL 32204-3817 · (904) 387-4050 · Fax (904) 387-4860
Phone(904) 387-4050
Fax(904) 387-4860
Organization SubpartNo
Authorized OfficialElyssa BlissenbachPresident · (904) 387-4050
Enumeration DateNovember 9, 2006
Last NPPES UpdateDecember 23, 2010
✔ NPI 1487724993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2065 HERSCHEL ST, Jacksonville, FL 32204
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Other Identifiers 3

Medicare UPING62748FL
Medicaid252461900FL
Medicare PINAD704FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

N E Florida Internal Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to N E Florida Internal Medicine PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Elyssa Blissenbach, MD PA
Internal Medicine
NPI 1881601714
2065 HERSCHEL ST
Jacksonville, FL 32204
(904) 387-4050
✔ PECOSSame address
Monica Cox, ARNP
Nurse Practitioner
NPI 1467432351
5460 BLANDING BLVD
Jacksonville, FL 32244
(904) 760-4904
✔ PECOS5.9 mi
Leaanne Griffis, APRN
Nurse Practitioner
NPI 1649808197
10482 NEW KINGS RD
Jacksonville, FL 32219
(904) 759-1183
✔ PECOS8.9 mi
Angel Lilly, APRN
Nurse Practitioner
NPI 1154040186
11250 BAPTIST HEALTH DR
Jacksonville, FL 32218
(904) 442-3358
✔ PECOS9.1 mi
Sara Haugen, FNP-BC
Nurse Practitioner
NPI 1770355596
97 RIO DR
Ponte Vedra Beach, FL 32082
(904) 654-8393
✔ PECOS19 mi
Leah Rose, APRN
Nurse Practitioner
NPI 1336769934
1310 COUNTY ROAD 210 W
Saint Johns, FL 32259
(904) 824-4407
✔ PECOS✔ Accepts Medicare20 mi

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

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 N E Florida Internal Medicine PA's NPI number?

The NPI number for N E Florida Internal Medicine PA is 1487724993. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is N E Florida Internal Medicine PA located?

N E Florida Internal Medicine PA is located at 2065 Herschel St, Jacksonville, FL 32204. The listed phone number is (904) 387-4050.

What is N E Florida Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is N E Florida Internal Medicine PA enrolled in Medicare?

Yes. N E Florida Internal Medicine PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through N E Florida Internal Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to N E Florida Internal Medicine PA. 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 Nurse Practitioner (5) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for N E Florida Internal Medicine PA was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.