Individual provider Active NPI

Jennifer Lynne Salas, PA-C

  • Physician Assistant
  • Spring Hill, FL
National Provider Identifier
1225288384
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2023-0051 Issued in NM
Practice address
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone
(352) 688-3002
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2023-0051 NM Primary
Physician Assistant 363A00000X PA9104807 FL

Addresses

Primary practice location

10461 Quality Dr
Spring Hill, FL 34609-9634

Mailing address

4904 Dogwood St
New Port Richey, FL 34653-5147
Phone (727) 488-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081117000545 FL Practitioner - Physician Assistant 7911067236 Reassigns benefits to 2 organizations
I20230822004094 NM Practitioner - Physician Assistant 7911067236 Reassigns benefits to 6 organizations
I20241221000199 TX Practitioner - Physician Assistant 7911067236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fep West LLCGroup PAC ID 3375041270, 19 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

Hospital & facility affiliations

  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Cibola General Hospital Hospital, Grants, NM, CCN 321308

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9104807FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC Physician Assistant CurrentSince Jun 17, 2022 Accepting new patients
Fep West LLC CurrentSince Sep 1, 2025 Accepting new patients
Cibola General Hospital Corporation Current Accepting new patients
Lake Oliver Emergency Group, LLC Physician Assistant CurrentSince Jun 17, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 5, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Nov 15, 2024 Accepting new patients
Haven Emergency Physicians Past Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients

Locations

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jsalas296261@direct.tgh.org
  • Direct secure messaging: jsalas1259610@ahs.direct-ci.com
  • Direct secure messaging: jsalas233441@direct.phs.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1225288384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 DOGWOOD ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535147",
            "telephone_number": "727-488-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 QUALITY DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099634",
            "telephone_number": "352-688-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2023-0051",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.