Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033200043 Individual Practitioner Female Practitioner

Doreen Radjenovic , ARNP

Nurse Practitioner • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Doreen Radjenovic, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Jacksonville, FL. Practice services are available at 807 CHILDRENS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 Childrens Way

Jacksonville, FL 322078426

Telephone 9043903759
Fax 9043903429
Associated Practice Facility / Clinic
🏢 The Nemours Foundation Facility NPI 1265585806

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP1607022

(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.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License FL ARNP1607022

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
257733000 (FL)
Medicaid State Provider ID
783679869A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Dr. Jane Goodwin , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1063423598

Doctor of Medicine (M.D.)

Dr. Patricia Stephens , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1083705008

Doctor of Medicine (M.D.)

Dr. Erica Mercer , MD

Urology - Pediatric Urology

NPI 1134130669

Doctor of Medicine (M.D.)

Dr. David Mandel , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1184730004

Doctor of Medicine (M.D.)

Dr. Laura Bailet , PhD

Psychologist - Clinical Child & Adolescent

NPI 1245241769

Doctor of Philosophy (Ph.D.)

Dr. Olinda Gaver , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1245241777

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2011

Registered at 807 CHILDRENS WAY, JACKSONVILLE, FL 322078426 (Tel: 9043903759)

📍
Updated Business Mailing Address September 16, 2011

Registered at PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 197320191 (Tel: 3026516212)

👤
Provider Name / Credentials Updated September 16, 2011

Recorded as DOREEN RADJENOVIC, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2011

Nurse Practitioner (License #ARNP1607022 in FL)

🟢
Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033200043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: September 16, 2011
Sole Proprietor: No

Mailing Address

Po Box 191, Provider Enrollment Dept

Rockland, DE 197320191

Phone: 3026516212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.