DAVID C TERRELL JR ARNP, PA
NPI 1669062899
Nurse Practitioner - Family in Lake City, FL

Active since January 21, 2021
4289 NW AMERICAN LN, LAKE CITY, FL 32055(386) 287-2111(386) 406-8368 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2026, Apr 8, 2025, Aug 13, 2024 and 4 more (7 updates tracked since 2021).

About David C Terrell Jr Arnp, Pa NPPES

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

DAVID C TERRELL JR ARNP, PA (NPI 1669062899) is a healthcare organization registered as a family in Lake City, Florida and active in the NPI registry since January 2021. The organization lists David Charles Terrell, Aprn, as its authorized official.

NPPES Registry Identity

NPI1669062899
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDAVID C TERRELL JR ARNP, PA
Location Address4289 NW AMERICAN LNLake City, FL 32055-4881
Mailing Address4289 Nw American LnLake City, FL 32055-4881 · (386) 287-2111 · Fax (386) 406-8368
Fax(386) 406-8368
Organization SubpartNo
Authorized OfficialDavid Charles TerrellAprn · (386) 287-2111
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJuly 19, 20267 updates tracked since enumeration
NPPES CertifiedJuly 19, 2026
✔ NPI 1669062899 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
4289 NW AMERICAN LN, Lake City, FL 32055

Other Names 1

Other NameGrace Family Medicine

Other Identifiers 4

Other1811411754FL · Type 1 Npi
OtherAPRN9330784FL · Florida License
Other1861018988FL · Type 1 Npi
OtherAPRN11007399FL · Florida License

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David C Terrell Jr Arnp, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to David C Terrell Jr Arnp, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1811411754
4289 NW AMERICAN LN
Lake City, FL 32055
(386) 287-2111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861018988
4289 NW AMERICAN LN
Lake City, FL 32055
(386) 628-8008
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801483714
4289 NW AMERICAN LN
Lake City, FL 32055
(386) 758-0003
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659099380
4251 NW AMERICAN LN STE 101
Lake City, FL 32055
(386) 758-6143
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1427094242
1740 W US HWY 90 STE 101
Lake City, FL 32055
(386) 752-3400
✔ PECOS✔ Accepts Medicare5.8 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 David C Terrell Jr Arnp, PA's NPI number?

The NPI number for David C Terrell Jr Arnp, PA is 1669062899. It was assigned to this organization in the NPPES registry on January 21, 2021. The provider is also known as Grace Family Medicine.

Where is David C Terrell Jr Arnp, PA located?

David C Terrell Jr Arnp, PA is located at 4289 NW American Ln, Lake City, FL 32055. The listed phone number is (386) 287-2111.

What is David C Terrell Jr Arnp, PA's specialty?

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

Is David C Terrell Jr Arnp, PA enrolled in Medicare?

Yes. David C Terrell Jr Arnp, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David C Terrell Jr Arnp, PA?

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

What insurance does David C Terrell Jr Arnp, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list David C Terrell Jr Arnp, PA 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 David C Terrell Jr Arnp, PA was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.