Telisa Grant, APRN - Medicare Nurse Practitioner in Jacksonville, FL

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Telisa Grant, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hni Medical Services Of Florida, Llc and her current practice location is 10257 Magnolia Ridge Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 528-6357.

Telisa Grant is licensed to practice in Florida (license number APRN9215166) 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 1720494941.

Contact Information

Telisa Grant, APRN
10257 Magnolia Ridge Dr,
Jacksonville, FL 32210-4991
(904) 528-6357
Not Available

Map and Direction




Provider's Profile

Full NameTelisa Grant
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location10257 Magnolia Ridge Dr, 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:
  • Telisa Grant graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1720494941
  • Provider Enumeration Date: 07/08/2014
  • Last Update Date: 08/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1355681982
  • Enrollment ID: I20190319001234

Medical Identifiers

Medical identifiers for Telisa Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720494941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN9215166 (Florida)Primary
163W00000XRegistered Nurse RN9215166 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hni Medical Services Of Florida, Llc7517202112104

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. Telisa Grant allows following entities to bill medicare on her behalf.
Entity NameFirst Coast Surgical Associates Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548249543
PECOS PAC ID: 5395779359
Enrollment ID: O20070109000450
Entity NameIntensive Care Experts Health Network, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164824397
PECOS PAC ID: 6608195599
Enrollment ID: O20150427001036
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

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. Telisa Grant 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
Telisa Grant, APRN
10257 Magnolia Ridge Dr,
Jacksonville, FL 32210-4991

Ph: (904) 528-6357		Telisa Grant, APRN
10257 Magnolia Ridge Dr,
Jacksonville, FL 32210-4991

Ph: (904) 528-6357

Reviews and Comments


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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.