Active NPI
Jarrod D Kearney, PA
- Physician Assistant
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113331
- Practice address
- 580 N Wickham Rd Ste C
Melbourne, FL 32935-8400 - Phone
- (321) 255-7118
- NPI assigned
- Feb 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113331 | FL | Primary |
Addresses
Primary practice location
580 N Wickham Rd Ste C
Melbourne, FL 32935-8400
Mailing address
PO Box 361095
Melbourne, FL 32936-1095
Phone (321) 253-2900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113331 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Brevard LLC | Current | Accepting new patients |
Locations
580 N Wickham Rd
Ste C
Melbourne, FL 32935
Phone (321) 255-7118
1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500
Interoperability endpoints
- jarrodkearney@mab.medentdirect.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1861400103
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1194359018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361095",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329361095",
"telephone_number": "321-253-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 N WICKHAM RD STE C",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358400",
"telephone_number": "321-255-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "JARROD",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-29",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.