MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C) – Family Nurse Practitioner, NPI 1154827798

MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 9256167 (FL). The NPI Number for MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C) is 1154827798

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C)
NPI
1154827798
Phone
Not provided
Address
4205 BELFORT RD STE 4015
Enumeration Date
3 April 2018
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9044506810
Graduation Year
2018 (8 years ago)
PAC ID
8224273271
Group Practice PAC ID
2860411188
Professional Enrollment ID
I20190108003740
Address ID
FL322107161JA6488XSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Loading map...

Provider Addresses for MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C)

  • 4015, Belfort Road, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322163623

    Phone:

    Type: Mailing

  • 103rd Street, Enchanted Park, Jacksonville, Duval County, Florida, 32210, United States

    JACKSONVILLE, FL 322107161

    Phone: (904) 450-6810

    Fax: (904) 450-6729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2023-08-04 • Largest payer in this snapshot: Exact Sciences Corporation ($47).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190108003740INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12272$0
99213Established patient office or other outpatient visit, 20-29 minutes5341$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3636$0
80053Blood test, comprehensive group of blood chemicals2019$0
G0008Administration of influenza virus vaccine1212$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860411188View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C) listed with a National Provider Identifier?
Yes — MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C) has NPI 1154827798 on file in the registry.
Is there an active status for MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C)?
For scheduling context, MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C) is shown as active in the registry.
What expertise is attributed to MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C)?
MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C)?
Travel planning: use Jacksonville, Florida as the reference point for MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C), then confirm.
When was this NPI issued?
Enumeration for MR. DEOGRACIAS REMANDABAN JR. AGNILA (NP-C) is noted as April 3, 2018 where the registry provides it.

Similar Providers

315 SE 14th St
NPI: 1104829274

MELODY ALICE PEREZ (APRN)

Family Nurse Practitioner
232 W 25th St
NPI: 1174526719

ELLEN M. HUSON (ARNP, FNP)

Family Nurse Practitioner
601 W Lincoln Ave
NPI: 1417953860

MS. SANDRA L SMITH (APRN, FNP-BC)

Family Nurse Practitioner
Germantown, Philadelphia, Philadelphia County, Pennsylvania, 19119:19144, United States
NPI: 1356342984

MRS. MELINDA P BRASWELL (APRN)

Psychiatric/Mental Health Nurse Practitioner
Tradewinds Drive, Tradewinds Pointe, Isle of Palms South, Jacksonville, Duval County, Florida, 32250, United States
NPI: 1568455863
4972 Town Center Pkwy Unit 301
NPI: 1457346900
Belfort Road South Professional Park, Jacksonville, Duval County, Florida, United States
NPI: 1619963469

DR. VICKI LYNN PARKS (DNP, ARNP-BC)

Family Nurse Practitioner
4328, Saint Albans Drive, Jacksonville, Duval County, Florida, 32257, United States
NPI: 1497743223