Jeremy C Adams

Individual provider Active NPI Nurse Practitioner · Jacksonville, FL

NPI 1043850563 · NPPES record last updated Oct 5, 2020

Key facts

NPI
1043850563
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APRN11003170 (FL)
Practice address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone
(904) 953-2000
NPI assigned
Jan 13, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic Jacksonville (1,595 clinicians)

Practice addresses (Care Compare)

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Hospital & facility affiliations

  • Mayo Clinic Hospital · Jacksonville, FL · CCN 100151

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100 (group)
Quality
74.85
Promoting interoperability
100
Improvement activities
40
Cost
72.62

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200203001718 FL Practitioner - Nurse Practitioner 4385070770 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville Current
since Jan 17, 2020
Accepting new patients
Mayo Clinic Jacksonville Current
since Jan 17, 2020
Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

Interoperability endpoints

  • Direct secure messaging: jadams392207@ehrdirect.mayoclinicmsg.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11003170 FL Yes

Addresses

Primary practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jadams392207@ehrdirect.mayoclinicmsg.org

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.