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

PRISHILA MISIMI APRN
NPI 1609618560
Nurse Practitioner in Jacksonville, FL

Q: What is Prishila Misimi's NPI number?

The NPI number for Prishila Misimi is 1609618560. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Prishila Misimi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Prishila Misimi was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since June 11, 2024PECOS Enrolled

4844 DEER LAKE DR W STE 1, JACKSONVILLE, FL 32246(904) 738-8690(904) 390-7426 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2026, Jan 20, 2026, Feb 5, 2025 and 1 more (4 updates tracked since 2024).

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About Prishila Misimi Aprn NPPES

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

PRISHILA MISIMI APRN (NPI 1609618560) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11033339) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609618560

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NamePRISHILA MISIMICredential: APRN

Location Address4844 DEER LAKE DR W STE 1Jacksonville, FL 32246-4506

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 738-8690

Fax(904) 390-7426

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 11, 2024

Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1609618560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11033339

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11033339 (FL)

4844 DEER LAKE DR W STE 1, Jacksonville, FL 32246

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prishila Misimi Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446780738

PECOS Enrollment IDI20251213000021

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 Reassignments

Medicare enrollment records show Prishila Misimi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Florida Endocrine And Diabetes Associates PA

8.5 mi

General Practice

915 WEST MONROE STREET, SUITE 200
Jacksonville, FL 32204

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

NPI 1215932520 (904) 384-2240

Patient Care Medical Group PC

753 mi

Geriatric Medicine

467 COOPER ST
Woodbury, NJ 08096

Reassigned Medicare billing, New Jersey enrollment
70 clinicians in this Medicare group

NPI 1891362364 (609) 385-2622

Affiliated Primary Care Associates II

815 mi

Family Medicine

26 MAIN ST
Edison, NJ 08837

Reassigned Medicare billing, New Jersey enrollment
45 clinicians in this Medicare group

NPI 1992663090 (732) 582-0400

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 32246 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 5

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

DR. JANE MARIE BROWN DNP, FNP-C

Nurse Practitioner