Jacqueline M Levin, P.A-C, MPH

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9102538 Issued in FL

Practice address

6050 Cattleridge Blvd Ste 201
Sarasota, FL 34232-6028

Phone

(941) 365-0655

NPI assigned

Nov 30, 2006

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 identifiers 1

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kennedy White and Riggs Orthopedic AssociatesGroup PAC ID 0840185310, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Kennedy White & Riggs Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Sarasota, FL
  • NPI 1568528032
  Medicare reassignment Care Compare group
• Kennedy White & Riggs Orthopedic Associates

  • Durable Medical Equipment & Medical Supplies
  • Sarasota, FL
  • NPI 1053477687
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1154498384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 CATTLERIDGE BLVD STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326028",
            "telephone_number": "727-527-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 CATTLERIDGE BLVD STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326028",
            "telephone_number": "941-365-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "P.A-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291798000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Levanti, PA-C
• Laurence B Levenberg, MD
• Bartram Levenson, DMD
• Armi Rose Callejo Leveriza, PT
• Barry Kenneth Levin, M.D.
• Jonathan Jack Levin, L.M.H.C.
• Ari Levine, DDS
• Jacquelyn Leah Levine
• Rebecca Anne Levine, D.O
• Robert Andrew Levine, LCSW

• Surgical Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.