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OCTAVIA J ROBERTSON NURSE PRACTITIONER
NPI 1861018616
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since June 17, 2020PECOS Enrolled
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209(904) 475-6311 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 14, 2021, Sep 29, 2021, Aug 13, 2021 and 1 more (4 updates tracked since 2020).

About Octavia J Robertson Nurse Practitioner NPPES

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

OCTAVIA J ROBERTSON NURSE PRACTITIONER (NPI 1861018616) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11013255) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861018616
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOCTAVIA J ROBERTSONCredential: NURSE PRACTITIONER
Location Address1536 N JEFFERSON STJacksonville, FL 32209-6525
Mailing Address1536 N Jefferson StJacksonville, FL 32209-6525 · (904) 475-6311
Phone(904) 475-6311
Sole ProprietorNo
Enumeration DateJune 17, 2020
Last NPPES UpdateOctober 14, 20214 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1861018616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · APRN11013255✔ Licensed in NM · 62090
1536 N JEFFERSON ST, Jacksonville, FL 32209
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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)

Octavia J Robertson Nurse Practitioner 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 32209 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 20

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

MRS. LAURIE A. CECIL OTD, OTR/L, DRP
Occupational Therapist
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. HANIE FAWZY ABDEL MASIH D.O.
Family Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. CYNTHIA HARRIS PHARM. D.
Pharmacist
1536 N JEFFERSON ST, JOC PHARMACY DEPARTMENT
JACKSONVILLE, FL 32209
Duval County (904) 475-5938
DR. AMANDA SUE KENT D.O.
Radiology (Diagnostic Radiology)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-6900
DR. RIAZ AHMED M.D.
Psychiatry & Neurology (Psychiatry)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-5800
DR. ROBERT M LEVY D.M.D.
Dentist (General Practice)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. MARTHA B WOMACK PHD
Psychologist (Clinical)
1536 N JEFFERSON ST, JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL 32209
Duval County (912) 447-5660
DR. ELIZABETH GARCIA MCCOY M.D.
Internal Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800

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 Octavia Robertson's NPI number?

The NPI number for Octavia Robertson is 1861018616. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Octavia Robertson located?

Octavia Robertson practices at 1536 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (904) 475-6311.

What is Octavia Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Octavia Robertson enrolled in Medicare?

Yes. Octavia Robertson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Octavia Robertson was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.