1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. General Practice
  6. NPI Profile

ENVISION PRIMARY HEALTHCARE LLC
NPI 1639643596
General Practice in Jacksonville, FL

Active since January 14, 2019
7317 STEVENTON WAY, JACKSONVILLE, FL 32244(904) 712-3380 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, Feb 11, 2023, May 31, 2020 and 2 more (5 updates tracked since 2019).

About Envision Primary Healthcare Llc NPPES

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

ENVISION PRIMARY HEALTHCARE LLC (NPI 1639643596) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since January 2019. The organization lists Meredith Jackson, Aprn, as its authorized official.

NPPES Registry Identity

NPI1639643596
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameENVISION PRIMARY HEALTHCARE LLC
Location Address7317 STEVENTON WAYJacksonville, FL 32244-8179
Mailing Address221 N Hogan St # 335Jacksonville, FL 32202-4201 · (904) 712-3380 · Fax (904) 712-6210
Phone(904) 712-3380
Organization SubpartNo
Authorized OfficialMeredith JacksonAprn · (904) 712-3380
Enumeration DateJanuary 14, 2019
Last NPPES UpdateOctober 1, 20255 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1639643596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7317 STEVENTON WAY, Jacksonville, FL 32244
Open in Google Maps ↗

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)

Envision Primary Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Envision Primary Healthcare LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chandala Hagans, APRN
Nurse Practitioner
NPI 1417617069
7317 STEVENTON WAY
Jacksonville, FL 32244
(904) 712-3380
✔ PECOSSame address
Xuemei He, FNP
Nurse Practitioner
NPI 1245534940
7317 STEVENTON WAY
Jacksonville, FL 32244
(904) 712-3380
✔ PECOS✔ Accepts MedicareSame address
Meredith Jackson, APRN
Nurse Practitioner
NPI 1184973331
7317 STEVENTON WAY
Jacksonville, FL 32244
(904) 712-3380
✔ PECOS✔ Accepts MedicareSame address
Stella Hayes
Family Practice
NPI 1871561373
100 BREWSTER BLVD FAMILY MEDICINE CLINIC
Camp Lejeune, NC 28547
(910) 450-3985
✔ PECOS✔ Accepts Medicare402 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 Envision Primary Healthcare LLC's NPI number?

The NPI number for Envision Primary Healthcare LLC is 1639643596. It was assigned to this organization in the NPPES registry on January 14, 2019.

Where is Envision Primary Healthcare LLC located?

Envision Primary Healthcare LLC is located at 7317 Steventon Way, Jacksonville, FL 32244. The listed phone number is (904) 712-3380.

What is Envision Primary Healthcare LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Envision Primary Healthcare LLC enrolled in Medicare?

Yes. Envision Primary Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Envision Primary Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Envision Primary Healthcare LLC. 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 (3) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Envision Primary Healthcare LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.