Active NPI
Jacqueline Paszko, APRN
- Family Nurse Practitioner
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11014485
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014485 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Manatee LLP | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Current | Accepting new patients | |
| Eye Associates of Manatee, LLP | Current | 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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Eyewear Supplier
- Fort Myers, FL
- NPI 1659091759
-
- Ophthalmology Physician
- Bradenton, FL
- NPI 1366483851
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.