Individual provider Active NPI

Jacqueline Paszko, APRN

  • Family Nurse Practitioner
  • Venice, FL
National Provider Identifier
1124793385
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014485 Issued in FL
Practice address
1550 E Venice Ave
Venice, FL 34292-1661
Phone
(941) 792-2020
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11014485 FL Primary

Addresses

Primary practice location

1550 E Venice Ave
Venice, FL 34292-1661

Mailing address

PO Box 162264
Altamonte Springs, FL 32716-2264
Phone (941) 792-2020

Other practice location 1

6002 Pointe West Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

Other practice location 2

2111 Bee Ridge Rd
Sarasota, FL 34239-6104
Phone (941) 792-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521003992 FL Practitioner - Nurse Practitioner 8022450170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11014485FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Manatee LLP CurrentSince Apr 9, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. CurrentSince Apr 16, 2025 Accepting new patients
Eye Associates of Manatee, LLP CurrentSince Apr 9, 2024 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2111 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 213-1385

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1550 E Venice Ave
Venice, FL 34292
Phone (941) 667-9030

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1124793385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162264",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162264",
            "telephone_number": "941-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921661",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Pointe West Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095531",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342396104",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASZKO",
        "first_name": "JACQUELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.