Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ISMARA YANET PROVANCE ROJAS
NPI 1548909484
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Ismara Provance Rojas's NPI number?

The NPI number for Ismara Provance Rojas is 1548909484. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Q: What is Ismara Provance Rojas's specialty?

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

Active since May 31, 2022PECOS Enrolled

4720 SALISBURY RD, JACKSONVILLE, FL 32256(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ismara Yanet Provance Rojas NPPES

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

ISMARA YANET PROVANCE ROJAS (NPI 1548909484) is an individual family provider in Jacksonville, Florida, licensed in Florida (11019021) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548909484

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameISMARA YANET PROVANCE ROJAS

Location Address4720 SALISBURY RDJacksonville, FL 32256-6101

Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273

Phone(855) 212-2273

Fax(629) 240-6003

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 31, 2022

Last NPPES UpdateOctober 22, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1548909484 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 · 11019021

4720 SALISBURY RD, Jacksonville, FL 32256

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Secondary Practice Location 1

Location 17101 W Flagler StMiami, FL 33144-2601 · Phone (786) 388-9696

Other Identifiers 1

Medicaid118924000FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ismara Yanet Provance Rojas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173992955

PECOS Enrollment IDI20221219000660

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 Ismara Provance Rojas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monogram Health Professional Services Of Florida LLC

Same address

Nephrology

4720 SALISBURY RD
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
98 clinicians in this Medicare group

NPI 1538883111 (615) 673-4455

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 32256 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 20

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

MS. LATISHA M HILL MSW

Social Worker (Clinical)