Mr Gerry Surrency, PMHNP-BC, ARNP - Medicare Nurse Practitioner in Orange Park, FL

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Mr Gerry Surrency, PMHNP-BC, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orange Park, Florida. His current practice location is 1895 Kingsley Ave Ste 403, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 300-4341.

Mr Gerry Surrency is licensed to practice in Florida (license number ARNP3174792) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457771016.

Contact Information

Mr Gerry Surrency, PMHNP-BC, ARNP
1895 Kingsley Ave Ste 403,
Orange Park, FL 32073-4453
(904) 300-4341
(904) 300-4341

Map and Direction




Provider's Profile

Full NameMr Gerry Surrency
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1895 Kingsley Ave Ste 403, Orange Park, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457771016
  • Provider Enumeration Date: 04/22/2014
  • Last Update Date: 08/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507083797
  • Enrollment ID: I20140812001697

Medical Identifiers

Medical identifiers for Mr Gerry Surrency such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457771016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN3174792 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health ARNP3174792 (Florida)Primary

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. Mr Gerry Surrency allows following entities to bill medicare on his behalf.
Entity NameNorth Florida Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790770873
PECOS PAC ID: 3476442633
Enrollment ID: O20040315000427
Entity NameWekiva Springs Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942471065
PECOS PAC ID: 0042395931
Enrollment ID: O20140818001428
Entity NameTbj Behavioral Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568633683
PECOS PAC ID: 4981789823
Enrollment ID: O20141120001176
Entity NameBalanced Wellbeing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587
Entity NameAmplaa Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639848450
PECOS PAC ID: 0345636619
Enrollment ID: O20220413002648

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. Mr Gerry Surrency 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
Mr Gerry Surrency, PMHNP-BC, ARNP
1895 Kingsley Ave Ste 403,
Orange Park, FL 32073-4453

Ph: (904) 300-4341		Mr Gerry Surrency, PMHNP-BC, ARNP
1895 Kingsley Ave Ste 403,
Orange Park, FL 32073-4453

Ph: (904) 300-4341

Reviews and Comments


Nurse Practitioner Nurses in Orange Park, FL

Diana Lynn Bridges, ARNP
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Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073
Phone: 904-639-8500    
Ms. Shara Lanecia Mcphall, PMHNP
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Medicare: Medicare Enrolled
Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073
Phone: 239-223-2751    
Benjamin A Debski, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073
Phone: 904-276-5700    Fax: 904-272-1474
Amonae Danyel Russell, APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 425 Mistwood Ct, Orange Park, FL 32065
Phone: 803-830-0541    
Heather Michelle Wade, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073
Phone: 904-621-0643    Fax: 904-621-0644
Gregg Steven Halverson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073
Phone: 904-458-7780    
Erica Devetia Waters, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1536 Kingsley Ave Ste 117, Orange Park, FL 32073
Phone: 904-604-9914    Fax: 629-600-6769

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.