MILLELY JOSEFINA SUMMERS
NPI 1831689678
Nurse Practitioner in Jacksonville, FL

Q: What is Millely Summers's NPI number?

The NPI number for Millely Summers is 1831689678. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is Millely Summers'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 Millely Summers was last updated on April 15, 2021. 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.

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment

6444 BEACH BLVD, JACKSONVILLE, FL 32216(904) 805-9600(904) 805-0084 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2021, May 17, 2018 (2 updates tracked since 2018).

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About Millely Josefina Summers NPPES

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

MILLELY JOSEFINA SUMMERS (NPI 1831689678) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP9354385) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831689678

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMILLELY JOSEFINA SUMMERS

Location Address6444 BEACH BLVDJacksonville, FL 32216-2891

Mailing Address1689 Eagle Harbor Pkwy, Ste BFleming Island, FL 32003-4817 · (904) 388-3357 · Fax (904) 384-5746

Phone(904) 805-9600

Fax(904) 805-0084

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 17, 2018

Last NPPES UpdateApril 15, 20212 updates tracked since enumeration

NPPES CertifiedApril 15, 2021

✔ NPI 1831689678 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 · ARNP9354385

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.

6444 BEACH BLVD, Jacksonville, FL 32216

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Other Identifiers 1

OtherARNP9354385FL · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Millely Josefina Summers 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 ID749535136

PECOS Enrollment IDI20180627000040

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 32216 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 8

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

ALECIA G DIXON ARNP

Nurse Practitioner (Primary Care)