Active NPI
Jennifer L. Mauzy, MD
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME115191
- Practice address
- 4201 Belfort Rd
Jacksonville, FL 32216-1431 - Phone
- (904) 296-3885
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TRN14665 | FL | |
| Emergency Medicine Physician | 207P00000X | ME115191 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | 68466 | GA |
Addresses
Primary practice location
4201 Belfort Rd
Jacksonville, FL 32216-1431
Mailing address
4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130920000622 | FL | Practitioner - Emergency Medicine | 5395986327 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Colorado School of Medicine, Denver, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
12525 Beach Blvd
Jacksonville, FL 32246-3200
Phone (904) 296-4300
Hospital & facility affiliations
- Ascension St Vincent'S Clay County
- Ascension St Vincent'S Southside
- Flagler Hospital
- Baptist Health Medical Center - Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115191 | FL | MD | Emergency Medicine Physician |
| TRN14665 | FL | MD | Emergency Medicine Physician |
| 68466 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/A8JBVvRX_lChZDLoNxFeQ8N_64m_7so-/
- jmauzy742117@direct.shands.ufl.edu
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
Emergency Medicine, FL
-
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- Washington, DC
- NPI 1073914396
-
- Emergency Medicine Physician
- Wilmington, DE
- NPI 1104703461
-
- Emergency Medicine Physician
- Lithonia, GA
- NPI 1124073721
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1134761331
-
- Emergency Medicine Physician
- Simpsonville, SC
- NPI 1255170361
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Edmonds, WA
- NPI 1447484274
-
- Emergency Medicine Physician
- Marysville, OH
- NPI 1497634372
-
- Emergency Medicine Physician
- Silver City, NM
- NPI 1558212548
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1700681202
-
- Emergency Medicine Physician
- Roseburg, OR
- NPI 1780647719
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
Hospital
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1003133836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161431",
"telephone_number": "904-296-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161431",
"telephone_number": "904-296-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUZY",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "TRN14665",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME115191",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "68466",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.