Jacksonville Spine Center PA
A Medicare group practice based in Jacksonville, FL: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 6901890300), with 38 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6901890300
- Provider type
- DME Supplier - Physician - Anesthesiology, DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 9
- Group size
- 38 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 16
Enrollment records 9
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20171102002814 | FL | DME Supplier - Physician - Anesthesiology | 1194248229 |
| O20040408001580 | FL | Part B Supplier - Clinic/Group Practice | 1881643757 |
| O20100930018097 | FL | DME Supplier - Physician - Interventional Pain Management | 1881643757 |
| O20230404000003 | FL | DME Supplier - Physician - Anesthesiology | 1306556550 |
| O20230323002524 | FL | DME Supplier - Physician - Interventional Pain Management | 1609586858 |
| O20210512002693 | FL | DME Supplier - Physician - Interventional Pain Management | 1912560798 |
| O20210202002448 | FL | DME Supplier - Physician - Anesthesiology | 1326659236 |
| O20210127000886 | FL | DME Supplier - Physician - Anesthesiology | 1891309340 |
| O20180829000209 | FL | DME Supplier - Physician - Interventional Pain Management | 1760976260 |
NPIs in this group 8
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Jacksonville Spine Center PA
- Interventional Pain Medicine Physician
- St Augustine, FL
- NPI 1194248229
-
Jacksonville Spine Center PA
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1306556550
-
Jacksonville Spine Center PA
- Interventional Pain Medicine Physician
- Fernandina Beach, FL
- NPI 1326659236
-
Jacksonville Spine Center PA
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1609586858
-
Jacksonville Spine Center PA
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1760976260
-
Jacksonville Spine Center PA
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
- NPI 1881643757
-
Jacksonville Spine Center PA
- Pain Medicine Physician
- Palatka, FL
- NPI 1891309340
-
Jacksonville Spine Center PA
- Interventional Pain Medicine Physician
- Fleming Island, FL
- NPI 1912560798
Practice locations
- Jacksonville, FL7
- St Augustine, FL2
- Fernandina Beach, FL2
- Palatka, FL2
- Fleming Island, FL2
- Jacksonville Beach, FL1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 80.97 of 100
- Quality
- 70.19
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.04
Clinicians 38
Clinicians who reassign their Medicare benefits to this group (38) or whom Care Compare lists as members (38).
-
Justin Alfonso, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1336502277
-
Heather Ballard
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1992634059
-
Wendy Marie Barton, NP
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1285425785
-
Aleena Vialva Blake, NP-C
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1689022030
-
Nicholas John Bremer, M.D.
- Pain Medicine Physician
- Fernandina Beach, FL
- NPI 1083778468
-
John Edmund Carey, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1821069055
-
Monica J Carrion-Jones, MD
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1972587301
-
Courtney Rae Criswell, PA-C
- Physician Assistant
- Jacksonville, FL
- NPI 1629535307
-
Courtney Sarah Delaparte, APRN
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1487328225
-
Taylor Bray Delarm, FNP-C
- Family Nurse Practitioner
- Palatka, FL
- NPI 1417562851
-
Guensley Ralph Delva, M.D.
- Interventional Pain Medicine Physician
- Waycross, GA
- NPI 1285019018
-
Stephen F. Fierro, DC
- Chiropractor
- Jacksonville, FL
- NPI 1366496135
-
Emmanuel Gage
- Interventional Pain Medicine Physician
- Brunswick, GA
- NPI 1720213093
-
Helena Gaitan
- Physician Assistant
- Jacksonville, FL
- NPI 1730846619
-
Maggie Nicole Garcia
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1811351638
-
Brittany Aneice Gibson, APRN, FNP-BC
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1558933788
-
John Hale, PA
- Physician Assistant
- Jacksonville, FL
- NPI 1447229760
-
Michael Christopher Hanes, M.D.
- Interventional Pain Medicine Physician
- Saint Augustine, FL
- NPI 1760708473
-
Stephanie Melissa Harris, APRN
- Nurse Practitioner
- Palatka, FL
- NPI 1396487567
-
Lorrie M Kenseth, NP
- Nurse Practitioner
- Jacksonville, FL
- NPI 1306030747
-
Emma Kleckner, DNP
- Family Nurse Practitioner
- Saint Augustine, FL
- NPI 1295668028
-
Justin D Mann, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1790075703
-
Joshua B Massey, PA
- Physician Assistant
- St Augustine, FL
- NPI 1649221615
-
Justin Michael McGinnis, PA-C
- Physician Assistant
- Fleming Island, FL
- NPI 1497234769
-
Jaclyn Tyo Meldrum, PA-C
- Surgical Physician Assistant
- Jacksonville, FL
- NPI 1811950272
-
Jennifer Renee Otterbach, FNP-BC
- Nurse Practitioner
- Fleming Island, FL
- NPI 1871845313
-
Andrew B Pandya, MD
- Interventional Pain Medicine Physician
- Pooler, GA
- NPI 1457320566
-
Amy Marie Parker, PHYSICIAN ASSISTANT
- Physician Assistant
- Jacksonville, FL
- NPI 1801588975
-
Sathavaram Aravind Reddy, M.D.
- Interventional Pain Medicine Physician
- Fleming Island, FL
- NPI 1376954594
-
Christopher Roberts, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1912978149
-
David Ryan Salek, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1285078832
-
William Edward Sewell, APRN, FNP-BC, FNP-C
- Nurse Practitioner
- Jacksonville, FL
- NPI 1144114828
-
Alexandra Marie Spence, APRN
- Nurse Practitioner
- Jacksonville, FL
- NPI 1750115887
-
Shaunna Marie Stetzer
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1497477525
-
Alexandra Straitt, APRN
- Nurse Practitioner
- Jacksonville, FL
- NPI 1265293765
-
Amanda R Taylor, PA-C
- Physician Assistant
- Fleming Island, FL
- NPI 1700913472
-
Claudio E Vincenty, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1285604793
-
Glynnis Marie Winfree, APRN
- Nurse Practitioner
- Jacksonville Beach, FL
- NPI 1003483850
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.