Jessica P. Koffman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9105789 Issued in FL

Practice address

2985 Drew St
Clearwater, FL 33759-3012

Phone

(727) 820-8200

NPI assigned

Nov 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica P. Munoz Former name

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baycare Urgent Care, LLC.Group PAC ID 6103841051, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles (7 of 9)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jessica.koffmanpac@direct.mybaycare.org

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.

• Baycare Urgent Care, LLC

  • General Practice Physician
  • Largo, FL
  • NPI 1184677007
  Medicare reassignment Care Compare group NPD
• Florida Clinical Practice Association Inc

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  Medicare reassignment NPD
• All American Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Spring Hill, FL
  • NPI 1588075931
  Medicare reassignment
• Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
  • NPI 1043269871
  Medicare reassignment
• Baycare Medical Group, Inc.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1659720837
  NPD
• Florida Clinical Practice Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD
• Myprimary, LLC

  • Urgent Care Clinic/Center
  • Spring Hill, FL
  • NPI 1992431233
  NPD (past)
• Physicians Medical Center, Inc.

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1063454858
  NPD (past)
• Physicians Medical Centers-Jax Inc

  • Urgent Care Clinic/Center
  • Orange Park, FL
  • NPI 1336320753
  NPD (past)

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

• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1134420003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 SHEEHAN DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-820-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Letap Ct",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346387229",
            "country_code": "US",
            "telephone_number": "813-279-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3204 San Diego Ln",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "FL",
            "postal_code": "335274748",
            "country_code": "US",
            "telephone_number": "813-707-7416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18610 Fernview Street",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "34638",
            "country_code": "US",
            "telephone_number": "813-692-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16640 S US Highway 301 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wimauma",
            "state": "FL",
            "postal_code": "335984175",
            "country_code": "US",
            "telephone_number": "813-633-2576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOFFMAN",
        "first_name": "JESSICA",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MUNOZ",
            "middle_name": "P.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Stahl Knowles, A.R.N.P.
• Matthew Knowlton, ARNP
• Fallon Knox
• Jennifer L Kobke
• William Lewis Kochenour II, D.D.S.,M.S.,P.A.
• Amanda Kohl, LMHC
• Theresa C Kohlberg, DMD
• Kolettis Krew LLC
• Elias M. Kolettis, D.O.
• Patti J Kolp, R.N.

• Medical Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.