Individual provider Active NPI

Jennifer Michele Scott, PA-C

  • Medical Physician Assistant
  • Blountstown, FL
National Provider Identifier
1134984347
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9118315 Issued in FL
Practice address
16875 NE Cayson St
Blountstown, FL 32424-2209
Phone
(850) 674-2244
NPI assigned
Feb 16, 2024
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9118315 FL Primary

Addresses

Primary practice location

16875 NE Cayson St
Blountstown, FL 32424-2209

Mailing address

16875 NE Cayson St
Blountstown, FL 32424-2209
Phone (850) 674-2244

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513000380 FL Practitioner - Physician Assistant 7214378975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pancare of Florida, IncGroup PAC ID 3476574229, 30 clinicians

Practice addresses (Care Compare)

16875 NE Cayson St
Blountstown, FL 32424-2209
Phone (850) 674-2244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9118315FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pancare of Florida, Inc CurrentSince Apr 21, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Jun 3, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients

Locations

16875 NE Cayson St
Blountstown, FL 32424
Phone (850) 674-2244

403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1134984347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16875 NE CAYSON ST",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242209",
            "telephone_number": "850-674-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16875 NE CAYSON ST",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242209",
            "telephone_number": "850-674-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENNIFER",
        "middle_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9118315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.