MICHAEL COULTER APRN NPI 1194031880

NPI Information

  • NPI: 1194031880
  • Provider Name: MICHAEL COULTER, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13453 N MAIN ST STE 104
    JACKSONVILLE, FL
    ZIP 32218
  • Phone: (904) 773-4390

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NPI Details

Michael Coulter, APRN is a psychiatric/mental health nurse practitioner in Jacksonville, FL with 19 years of experience. Michael Coulter, APRN NPI is 1194031880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13453 N MAIN ST STE 104
JACKSONVILLE, FL
ZIP 32218-773
Phone: (904) 773-4390
Fax: (941) 621-7089

The NPI 1194031880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)

The enumeration date for this NPI number is 8/19/2010 and was last updated on 2/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerARNP9262190FLORIDANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN9262190FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002592800MEDICAIDFLORIDA
2SF935OTHERFLORIDAMEDICARE
3116312100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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