Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Marie Ademski, ARNP

Individual provider Adult Health Nurse Practitioner · NPI 1407458417

Carolyn Marie Ademski, ARNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group and accepts Medicare assignment. Licensed in Delaware and Florida.

Years since qualifying
8
Licensed in
DE, FL
In the registry since
2020
Specialties on file
3
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

4600 Touchton Rd E Ste 150
Jacksonville, FL 32246-8299
Phone: (415) 671-2165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11003140 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11003140 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence LP0000326 (DE)

Record details

NPI number1407458417
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedNovember 13, 2020
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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