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

MS. Mayuko Mondestin

Individual provider Family Nurse Practitioner · NPI 1518841212

MS. Mayuko Mondestin is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2025, 1 year ago. Practices with Memorial Family Practice Associates, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

9889 Gate Pkwy N Bldg 200
Jacksonville, FL 32246-9228
Phone: (904) 725-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11040568 (FL)

Record details

NPI number1518841212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2025
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Memorial Family Practice Associates, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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