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Bao Quoc Pham , APRN

Nurse Practitioner β€’ Jacksonville, FL

Active NPI 1093635955 Individual Practitioner Male Practitioner
Practice location in NPPES

4500 San Pablo Rd S
Jacksonville, FL 322241865

Call 9049532000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Organization at the Same NPPES Address or Phone
Mayo Clinic Jacksonville Facility NPI 1790772317

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

872 active clinicians are listed under Nurse Practitioner with a practice address in Jacksonville, FL (8,853 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

28.3% of these 872 clinicians have the CMS telehealth indicator.

62.5% of these 872 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES FL APRN11048048

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Dr. Zaid Abdel Rahman , MD

Internal Medicine - Hematology

NPI 1003299330

Doctor of Medicine (M.D.)

Dr. Mohammed Ahmed , MD

Radiology - Diagnostic Radiology

NPI 1013335876

Doctor of Medicine (M.D.)

Dr. Violeta Alvarez Retamales , MD

Internal Medicine - Nephrology

NPI 1013401090

Doctor of Medicine (M.D.)

Ryan Asencios , PA-C

Physician Assistant

NPI 1003484437

Physician Assistant (Certified)

Melinda Barber , ARNP

Nurse Practitioner

NPI 1013358613

Advanced Registered Nurse Practitioner

NPI 1013273986

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated July 20, 2026.

This record first appears in the August 2026 NPPES data file, the latest one loaded here, so there is no change history for it yet.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1093635955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2026
Last Update: July 20, 2026
Sole Proprietor: No

Other Nurse Practitioners in Jacksonville

All Nurse Practitioners in Jacksonville

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.