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CONSUELO TOMAS
NPI 1497590103
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since June 26, 2024PECOS Enrolled
4190 BELFORT RD STE 140, JACKSONVILLE, FL 32216(904) 296-2999 Get Directions Write a Review

NPPES record last updated: December 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 14, 2024, Sep 23, 2024, Jun 26, 2024 (3 updates tracked since 2024).

About Consuelo Tomas NPPES

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

CONSUELO TOMAS (NPI 1497590103) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (11033619) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1497590103
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCONSUELO TOMAS
Location Address4190 BELFORT RD STE 140Jacksonville, FL 32216-5871
Mailing Address13453 N Main St Ste 104Jacksonville, FL 32218-2773
Phone(904) 296-2999
Sole ProprietorYes
Enumeration DateJune 26, 2024
Last NPPES UpdateDecember 14, 20243 updates tracked since enumeration
NPPES CertifiedDecember 14, 2024
✔ NPI 1497590103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11033619
4190 BELFORT RD STE 140, Jacksonville, FL 32216
Open in Google Maps ↗

Secondary Practice Location 1

Location 113453 N Main St Ste 104Jacksonville, FL 32218-2773 · Phone (323) 781-7957

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Consuelo Tomas 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 Consuelo Tomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Discovery Mental Health Services
16 mi
Mental Health
13453 N MAIN ST STE 104
Jacksonville, FL 32218
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1023697745 (904) 773-4390

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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 2

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

MR. DOUGLAS KLIM LCSW
Social Worker (Clinical)
4190 BELFORT RD STE 140
JACKSONVILLE, FL 32216
Duval County (904) 296-1120
MRS. DONITA JONES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4190 BELFORT RD STE 140
JACKSONVILLE, FL 32216
Duval County (904) 296-2999

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 Consuelo Tomas's NPI number?

The NPI number for Consuelo Tomas is 1497590103. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Consuelo Tomas located?

Consuelo Tomas practices at 4190 Belfort Rd Ste 140, Jacksonville, FL 32216. The listed phone number is (904) 296-2999.

What is Consuelo Tomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Consuelo Tomas enrolled in Medicare?

Yes. Consuelo Tomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Consuelo Tomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Consuelo Tomas reassigns Medicare benefits to Discovery Mental Health Services (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 Consuelo Tomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Consuelo Tomas accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Consuelo Tomas 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 Consuelo Tomas was last updated on December 14, 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.