LYNDA JUSTILIEN-PETTY APRN, FNP-BC
NPI 1902586761
Nurse Practitioner - Family in Jacksonville, FL

Active since July 18, 2023PECOS EnrolledAccepts Medicare Assignment
580 8TH ST. W, TOWER 1, 9TH FLOOR, JACKSONVILLE, FL 32209(904) 383-1022 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lynda Justilien-petty Aprn, Fnp-bc NPPES

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

LYNDA JUSTILIEN-PETTY APRN, FNP-BC (NPI 1902586761) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11026937) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902586761
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYNDA JUSTILIEN-PETTYCredential: APRN, FNP-BC
Location Address580 8TH ST. W, TOWER 1, 9TH FLOORJacksonville, FL 32209
Mailing Address373 Hepburn RdOrange Park, FL 32065-5639 · (904) 483-1206
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1902586761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11026937
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN11026937 (FL)
580 8TH ST. W, Jacksonville, FL 32209

Accepted Insurance

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

Lynda Justilien-petty Aprn, Fnp-bc 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 ID4880058726
PECOS Enrollment IDI20230912000969
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

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.

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 Lynda Justilien-petty's NPI number?

The NPI number for Lynda Justilien-petty is 1902586761. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Lynda Justilien-petty located?

Lynda Justilien-petty practices at 580 8th St. W Tower 1, 9th Floor, Jacksonville, FL 32209. The listed phone number is (904) 383-1022.

What is Lynda Justilien-petty's specialty?

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

Is Lynda Justilien-petty enrolled in Medicare?

Yes. Lynda Justilien-petty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lynda Justilien-petty accept?

Health plans from AvMed list Lynda Justilien-petty 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.

Is Lynda Justilien-petty affiliated with any hospitals?

According to CMS data, Lynda Justilien-petty is affiliated with Shands Jacksonville and Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Lynda Justilien-petty was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.