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

Sergey Smirnov, NP

Individual provider Family Nurse Practitioner · NPI 1699318295

Sergey Smirnov, NP is a Nurse Practitioner in St Johns, Florida. Qualified in 2019, 7 years ago. Practices with Paragon Wound Care, a 2-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
7
Licensed in
FL, NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

255 Rivertown Shops Dr Ste 102-161
St Johns, FL 32259-7506
Phone: (904) 377-3154
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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 APRN11005649 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 345197 (NY)

Record details

NPI number1699318295
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 26, 2019
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Paragon Wound Care — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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