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FLORIDA PROTON THERAPY INSTITUTE INC
NPI 1891748257
Radiology - Radiation Oncology in Jacksonville, FL

Active since May 18, 2006
2015 JEFFERSON ST, JACKSONVILLE, FL 32206(904) 588-1263(904) 588-1300 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2024, Nov 5, 2019 (2 updates tracked since 2019).

About Florida Proton Therapy Institute Inc NPPES

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

FLORIDA PROTON THERAPY INSTITUTE INC (NPI 1891748257) is a healthcare organization registered as a radiation oncology in Jacksonville, Florida and active in the NPI registry since May 2006. The organization lists Nancy Medenhall, Director, Active, Attending, as its authorized official.

NPPES Registry Identity

NPI1891748257
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameFLORIDA PROTON THERAPY INSTITUTE INC
Location Address2015 JEFFERSON STJacksonville, FL 32206-3531
Mailing Address2015 Jefferson StJacksonville, FL 32206-3531 · (904) 588-1401 · Fax (904) 588-1437
Phone(904) 588-1263
Fax(904) 588-1300
Organization SubpartNo
Authorized OfficialNancy MedenhallDirector, Active, Attending · (904) 588-1401
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1891748257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in FL · ME39054
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
2015 JEFFERSON ST, Jacksonville, FL 32206
Open in Google Maps ↗

Other Identifiers 1

Medicaid2771470 00FL

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Florida Proton Therapy Institute Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Florida Proton Therapy Institute Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Radiation Oncology10
Nurse Practitioner3

Clinicians, nearest first (13)

Jacey Hebert, APRN
Nurse Practitioner
NPI 1891677894
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts MedicareSame address
Lucas Sapienza, MD
Radiation Oncology
NPI 1497316640
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts MedicareSame address
Julie Bradley, M.D.
Radiation Oncology
NPI 1588837793
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts MedicareSame address
Curtis Bryant, M.D.
Radiation Oncology
NPI 1962662775
2015 JEFFERSON STREET UNIVERSITY OF FLORIDA PROTON INSTITUTE
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts MedicareSame address
Teena Burchianti, ARNP
Nurse Practitioner
NPI 1649230301
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts MedicareSame address
Roi Dagan, M.D.
Radiation Oncology
NPI 1952508491
2015 JEFFERSON ST UNIVERSITY OF FLORIDA PROTON THERAPY INSTITUTE
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts MedicareSame address
Daniel Indelicato, MD
Radiation Oncology
NPI 1356431688
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1263
✔ PECOS✔ Accepts MedicareSame address
Nancy Mendenhall, MD
Radiation Oncology
NPI 1407817927
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1263
✔ PECOS✔ Accepts MedicareSame address
Romaine Nichols, M.D.
Radiation Oncology
NPI 1679555270
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts MedicareSame address
Samuel Jean-Baptiste, MD
Radiation Oncology
NPI 1992265557
2015 JEFFERSON ST
Jacksonville, FL 32206
(904) 588-1800
✔ PECOS✔ Accepts Medicare0.1 mi
Kerri Jarrell, ARPN
Nurse Practitioner
NPI 1013349604
11701 SAN JOSE BLVD SUITE 103
Jacksonville, FL 32223
(904) 262-9075
✔ PECOS✔ Accepts Medicare13 mi
William Mendenhall, MD
Radiation Oncology
NPI 1528020708
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 265-0287
✔ PECOS✔ Accepts Medicare64 mi
James Knight, MD
Radiation Oncology
NPI 1871121095
UNIVERSITY OF KENTUCKY 800 ROSE STREET
Lexington, KY 40536
(859) 323-2636
✔ PECOS554 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 Florida Proton Therapy Institute Inc's NPI number?

The NPI number for Florida Proton Therapy Institute Inc is 1891748257. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Florida Proton Therapy Institute Inc located?

Florida Proton Therapy Institute Inc is located at 2015 Jefferson St, Jacksonville, FL 32206. The listed phone number is (904) 588-1263.

What is Florida Proton Therapy Institute Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Florida Proton Therapy Institute Inc enrolled in Medicare?

Yes. Florida Proton Therapy Institute Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Proton Therapy Institute Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Florida Proton Therapy Institute Inc. 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 Radiation Oncology (10) and Nurse Practitioner (3). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Florida Proton Therapy Institute Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Florida Proton Therapy Institute Inc 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 Florida Proton Therapy Institute Inc was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.