HERMYZA M COLEMAN (APRN) – Nurse Practitioner, NPI 1861876302
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,500 NURSE PRACTITIONER in FL
Provider Addresses for HERMYZA M COLEMAN (APRN)
PO BOX 40767
JACKSONVILLE, FL 322030767
Phone: (904) 376-3707
Type: Mailing
836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 322078335
Phone: (904) 202-8290
Fax: (904) 202-8171
Type: Location
5614 SAN JOSE BLVD
JACKSONVILLE, FL 322077616
Phone: (904) 633-0475
Type: Mailing
10140 CENTURION PKWY N
JACKSONVILLE, FL 322560532
Phone: (904) 697-4100
Type: Mailing
841 PRUDENTIAL DR STE 280
JACKSONVILLE, FL 322078350
Phone: (904) 202-8551
Fax: (904) 393-7808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-09-16
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150916002220 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Pediatric Medicine | GA | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine | LA | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | DC | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine, Adult Congenital Heart Disease (Achd) | GA | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | NY | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | FL |
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