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Active NPI 1053282129 Individual Practitioner Female Practitioner

Angelique Willis , APRN

Nurse Practitioner • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Angelique Willis, APRN is a certified Nurse Practitioner practicing in Saint Augustine, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Angelique Willis delivers high-quality medical care to the local community at 217 ASHBROOK ST.

Angelique Willis does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

217 Ashbrook St

Saint Augustine, FL 320840086

Telephone 9045999192

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Augustine, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Saint Augustine, FL (8990 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willis (1 Years) 1 Yrs
Saint Augustine Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11042009

(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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2025

Registered at 217 ASHBROOK ST, SAINT AUGUSTINE, FL 320840086 (Tel: 9045999192)

📍
Updated Business Mailing Address September 13, 2025

Registered at 217 ASHBROOK ST, SAINT AUGUSTINE, FL 320840086

👤
Provider Name / Credentials Updated September 13, 2025

Recorded as ANGELIQUE WILLIS, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2025

Nurse Practitioner (License #APRN11042009 in FL)

🟢
Initial NPI Registration & Enumeration September 13, 2025

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: 1053282129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2025
Last Update: September 13, 2025
Sole Proprietor: Yes

Mailing Address

217 Ashbrook St

Saint Augustine, FL 320840086

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.