Individual provider Active NPI

Jesse A. Kane, M.D.

  • Obstetrics & Gynecology Physician
  • Gainesville, FL
National Provider Identifier
1265430292
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME36705 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-2230
Phone
(352) 273-7584
Fax
(352) 392-3498
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 059536 GA
Obstetrics & Gynecology Physician 207V00000X ME36705 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-2230

Mailing address

PO Box 100294
Gainesville, FL 32610-0294
Phone (352) 273-7584

Other practice location 1

11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 384-2500

Other practice location 2

804 N Liberty St
Nicholls, GA 31554
Phone (912) 384-2500

Other practice location 3

2010 Ocilla Rd.
Douglas, GA 31533-2230
Phone (912) 384-2500

Other identifiers 9

IdentifierTypeStateIssuer
104837400MedicaidFL
DH1281OtherGARAILROAD MEDICARE - GROUP #
234608607BMedicaidGA
421005OtherWELLCARE OF GA
059536OtherGAPHYSICIAN LICENSE
11D0941435OtherGACLIA ID -2010 OCILLA RD
234608607AMedicaidGA
11D1105865OtherGACLIA ID - 17 JOHNSON ST
P00787893OtherGARAILROAD MEDICARE - PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219000516 FL Practitioner - Obstetrics/Gynecology 8921909607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME36705FLMDObstetrics & Gynecology Physician
059536GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Dec 1, 2019 Accepting new patients
Florida Clinical Practice Association Inc Obstetrics & Gynecology CurrentSince Dec 1, 2019 Accepting new patients

Locations

4037 NW 86th Ter
Fl 2
Gainesville, FL 32606
Phone (352) 265-0820

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0496

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jkane443615@direct.shands.ufl.edu

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.

Hospital & facility affiliations 9

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265430292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100294",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100294",
            "telephone_number": "352-273-7584",
            "fax_number": "352-392-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326102230",
            "telephone_number": "352-273-7584",
            "fax_number": "352-392-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396427",
            "country_code": "US",
            "telephone_number": "912-384-2500",
            "fax_number": "912-383-6788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 N Liberty St",
            "address_purpose": "LOCATION",
            "city": "Nicholls",
            "state": "GA",
            "postal_code": "31554",
            "country_code": "US",
            "telephone_number": "912-384-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Ocilla Rd.",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332230",
            "country_code": "US",
            "telephone_number": "912-384-2500",
            "fax_number": "912-383-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "JESSE",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "059536",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME36705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104837400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - GROUP #",
            "identifier": "DH1281",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234608607B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GA",
            "identifier": "421005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "059536",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID -2010 OCILLA RD",
            "identifier": "11D0941435",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234608607A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID - 17 JOHNSON ST",
            "identifier": "11D1105865",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - PTAN",
            "identifier": "P00787893",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.