Active NPI
Jenna Lea Marshall, PA
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 13241 Bartram Park Blvd
Jacksonville, FL 32258-5212 - Phone
- (904) 402-8346
- NPI assigned
- Sep 11, 2019
- 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 | FL | Primary |
Addresses
Primary practice location
13241 Bartram Park Blvd
Jacksonville, FL 32258-5212
Mailing address
145 Cloverbank Rd
St Augustine, FL 32092-9360
Phone (352) 224-8951
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1350 13TH Ave S
Jacksonville, FL 32250-3203
Phone (904) 399-5550
14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone (904) 399-5550
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-5550
4421 Catheys Club LN
Jacksonville, FL 32224-5670
Phone (904) 399-5550
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 399-5550
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- HCA Florida Orange Park Hospital
- Baptist Medical Center - Nassau
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1093364051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 CLOVERBANK RD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320929360",
"telephone_number": "352-224-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13241 BARTRAM PARK BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585212",
"telephone_number": "904-402-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JENNA",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": null,
"primary": true
}
],
"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 Sep 29, 2023; 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.