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MRS. GLADYS ELENA HATEM APRN
NPI 1710504725
Nurse Practitioner in Jacksonville, FL

Active since June 25, 2020PECOS Enrolled
836 PRUDENTIAL DR STE 802, JACKSONVILLE, FL 32207(904) 202-8290(904) 202-8171 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2020, Jun 25, 2020 (2 updates tracked since 2020).

About Mrs. Gladys Elena Hatem Aprn NPPES

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

MRS. GLADYS ELENA HATEM APRN (NPI 1710504725) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11007713) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710504725
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. GLADYS ELENA HATEMCredential: APRN
Location Address836 PRUDENTIAL DR STE 802Jacksonville, FL 32207-8335
Mailing AddressPo Box 44047Jacksonville, FL 32231-4047 · (904) 376-3240 · Fax (904) 391-5075
Phone(904) 202-8290
Fax(904) 202-8171
Sole ProprietorYes
Enumeration DateJune 25, 2020
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1710504725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11007713
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.
836 PRUDENTIAL DR STE 802, Jacksonville, FL 32207
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gladys Elena Hatem Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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. ERIC LEE CEITHAML M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
Duval County (904) 202-8290
BAPTIST SPECIALTY PHYSICIANS INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
Duval County (904) 202-8290
MRS. MELISSA GRIFFIN TYLER APRN
Nurse Practitioner (Pediatrics)
836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
Duval County (904) 202-8290
ELISE FOY ARNP
Nurse Practitioner (Primary Care)
836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
Duval County (904) 398-5437
DR. SHAMSUR RAHMAN CHOWDHURY M.D.
Pediatrics (Pediatric Critical Care Medicine)
836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
Duval County (904) 202-8290

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 Gladys Hatem's NPI number?

The NPI number for Gladys Hatem is 1710504725. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Gladys Hatem located?

Gladys Hatem practices at 836 Prudential Dr Ste 802, Jacksonville, FL 32207. The listed phone number is (904) 202-8290.

What is Gladys Hatem's specialty?

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

Is Gladys Hatem enrolled in Medicare?

Yes. Gladys Hatem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gladys Hatem was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.