Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Priscila Simon Jose, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1861228272

Priscila Simon Jose, FNP-BC is a Nurse Practitioner in Lake City, Florida. Qualified in 2024, 2 years ago. Practices with Baya Urgent Care LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

340 NW Commerce Dr
Lake City, FL 32055-4709
Phone: (386) 719-9000
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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 11035219 (FL)

Record details

NPI number1861228272
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Baya Urgent Care Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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