Chaquanta Enjoli Eberheart, - Medicare Nurse Practitioner in Jacksonville, FL

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Chaquanta Enjoli Eberheart, is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Primary Care Inc, Hni Medical Services Of Florida, Llc and her current practice location is 820 Prudential Dr Ste 304, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 202-3860.

Chaquanta Enjoli Eberheart is licensed to practice in Florida (license number ARNP9288070) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013410844.

Contact Information

Chaquanta Enjoli Eberheart,
820 Prudential Dr Ste 304,
Jacksonville, FL 32207-8205
(904) 202-3860
(904) 202-3846

Map and Direction




Provider's Profile

Full NameChaquanta Enjoli Eberheart
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location820 Prudential Dr Ste 304, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chaquanta Enjoli Eberheart graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1013410844
  • Provider Enumeration Date: 03/18/2018
  • Last Update Date: 10/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729333059
  • Enrollment ID: I20180608002328

Medical Identifiers

Medical identifiers for Chaquanta Enjoli Eberheart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013410844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9288070 (Florida)Secondary
363L00000XNurse Practitioner ARNP9288070 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Ascension St Vincent's RiversideJacksonville, FLHospital
Baptist Medical Center - NassauFernandina beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Primary Care Inc0648177733405
Hni Medical Services Of Florida, Llc7517202112105

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chaquanta Enjoli Eberheart allows following entities to bill medicare on her behalf.
Entity NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248
Entity NamePhysical Medicine Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952343261
PECOS PAC ID: 1658335328
Enrollment ID: O20041113000028
Entity NameInpatient Consultants Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018
Entity NameHni Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366735169
PECOS PAC ID: 6406028810
Enrollment ID: O20111007000131
Entity NameHni Medical Services Of Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679048284
PECOS PAC ID: 7517202112
Enrollment ID: O20190102000426
Entity NameKidney Clinic Of North Florida Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467036590
PECOS PAC ID: 7618377789
Enrollment ID: O20210610001686

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chaquanta Enjoli Eberheart is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chaquanta Enjoli Eberheart,
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-2092		Chaquanta Enjoli Eberheart,
820 Prudential Dr Ste 304,
Jacksonville, FL 32207-8205

Ph: (904) 202-3860

Reviews and Comments


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Danielle Harper Key, APRN
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.