Jacquelyn Mann, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9108524 Issued in FL

Practice address

5415 NW 122ND Dr
Coral Springs, FL 33076-3639

Phone

(954) 600-8202

NPI assigned

Jan 28, 2015

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

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

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.

• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment NPD
• Broward Oncology and Sickle Cell Center

  • Hematology & Oncology Physician
  • Ft Lauderdale, FL
  • NPI 1760997571
  Medicare reassignment
• Florida Hospital Medicine Services, LLC.

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183
  Medicare reassignment
• North Broward Hospitalist Inc

  • Hospitalist Physician
  • Fort Lauderdale, FL
  • NPI 1114193034
  Medicare reassignment
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1780080218
  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1235529314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 NW 122ND DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763639",
            "telephone_number": "954-600-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 NW 122ND DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763639",
            "telephone_number": "954-600-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JACQUELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9108524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Malolot
• Freddy Rick Malpartida, M.D.
• Frank Joseph Maluda Jr., RPH
• Maria Antonietta Mandelion, M.S., CCC-SLP
• Sara Ann Manin
• Stephanie Manne
• Pamela Manning, DNP, AGNP-BC
• Adel S Mansour, MD
• Michelle F Mansueto
• Rivkah Mantel

• Medical Physician Assistant in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.