Active NPI
Raquel S Watkins, MD
- Allergy & Immunology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME101580
- Practice address
- 13241 Bartram Park Blvd Unit 2601
Jacksonville, FL 32258-5219 - Phone
- (904) 298-1800
- Fax
- (904) 298-1802
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | ME101580 | FL | |
| Allergy & Immunology Physician | 207K00000X | ME101580 | FL | Primary |
Addresses
Primary practice location
13241 Bartram Park Blvd Unit 2601
Jacksonville, FL 32258-5219
Mailing address
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-3262
Other practice location 1
2140 Kingsley Ave
Suite 1
Orange Park, FL 32073-5180
Phone (904) 298-1800
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Maryland School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-7205
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Ascension St Vincent's Clay County
- Ascension St Vincent's Riverside
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.94 of 100
- Quality
- 69.69
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 69.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borland Groover Clinic, PA | Current | Accepting new patients | |
| Joan D Oleary MD PL | Past | Accepting new patients |
Locations
836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433
13241 Bartram Park Blvd
Unit 2601
Jacksonville, FL 32258
Phone (904) 298-1800
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
2140 Kingsley Ave
Ste 1
Orange Park, FL 32073
Phone (904) 272-7500
1555 Kingsley Ave
Ste 401
Orange Park, FL 32073
Phone (904) 278-3100
Interoperability endpoints
- raquel.watkins.p1@direct.bgclinic.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1881644912
-
- Dermatology Physician
- Orange Park, FL
- NPI 1467702175
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Ascension St. Vincent's Riverside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
dba Ascension St. Vincent's Clay County
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
dba Ascension St Vincent's Riverside
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1205036084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566004",
"telephone_number": "904-398-3262",
"fax_number": "904-265-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13241 BARTRAM PARK BLVD UNIT 2601",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585219",
"telephone_number": "904-298-1800",
"fax_number": "904-298-1802"
}
],
"practiceLocations": [
{
"address_1": "2140 Kingsley Ave",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735180",
"country_code": "US",
"telephone_number": "904-298-1800",
"fax_number": "904-298-1802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "RAQUEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "FL",
"license": "ME101580",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME101580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.