Mary Jacubec

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9121019 Issued in FL

Practice address

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925

Phone

(352) 796-3334

NPI assigned

Dec 5, 2025

Last updated

Dec 17, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Nova Southeastern College of Osteo Medicine, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Center for Aesthetic Plastic Surgery PA

  • Dermatology Physician
  • Brooksville, FL
  • NPI 1679525653
  Medicare reassignment NPD

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1134082266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12561 92ND WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337732534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-796-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACUBEC",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussam Ismael, M.D
• James R Jachimowicz, M.D.
• Gary Leonard Jacobs, OPTICIAN
• Jerry Richard Jacobs, DO
• Nancy Anne Jacobs
• Avinash Laxman Jadhav, M.D.
• Rohit Jaishankar, MD
• James R Cummings MD PA (James R. Cummings, M.D. and Associates)
• Anthony B James, ND
• Lauren N Jans

• Physician Assistant in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.

Verify at the official NPI Registry.