Active NPI
Jenissa Denee Leite Da Silva, PA-C
- Physician Assistant
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113699
- Practice address
- 61 Memorial Medical Pkwy Ste 2811
Palm Coast, FL 32164-5999 - Phone
- (386) 586-1955
- Fax
- (386) 586-1959
- NPI assigned
- Oct 7, 2020
- Last updated
- Mar 25, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113699 | FL | Primary |
Addresses
Primary practice location
61 Memorial Medical Pkwy Ste 2811
Palm Coast, FL 32164-5999
Mailing address
PO Box 935921
Atlanta, GA 31193-5921
Other practice location 1
11600 Lakeside Village Ln
Windermere, FL 34786-7024
Phone (407) 876-2273
Other practice location 2
12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone (321) 235-0692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OE838 | Other | FL | MEDICARE HF |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
61 Memorial Medical Pkwy
Palm Coast, FL 32164-5982
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113699 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Flagler Inc. | Current | Accepting new patients | |
| Memorial Hospital Flagler Inc | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Medical | Past | Accepting new patients |
Locations
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750
61 Memorial Medical Pkwy
Ste 2811
Palm Coast, FL 32164
Phone (386) 586-1955
120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jleitedasilva1228331@adventhealth.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- General Practice Physician
- Orlando, FL
- NPI 1205903432
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
Medical
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1023615507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935921",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311935921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MEMORIAL MEDICAL PKWY STE 2811",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645999",
"telephone_number": "386-586-1955",
"fax_number": "386-586-1959"
}
],
"practiceLocations": [
{
"address_1": "11600 Lakeside Village Ln",
"address_purpose": "LOCATION",
"city": "Windermere",
"state": "FL",
"postal_code": "347867024",
"country_code": "US",
"telephone_number": "407-876-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12301 Lake Underhill Rd Ste 215",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328284511",
"country_code": "US",
"telephone_number": "321-235-0692",
"fax_number": "321-235-0694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEITE DA SILVA",
"first_name": "JENISSA",
"middle_name": "DENEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "OE838",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.