Individual provider Active NPI

Jason David Schottel, ARNP

  • Acute Care Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1275719890
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11000698 Issued in FL
Practice address
851 Dunlawton Ave Ste 104
Port Orange, FL 32127
Phone
(904) 333-4031
NPI assigned
Jan 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12138 FL
General Practice Registered Nurse 163WG0000X 9176378 FL
Acute Care Nurse Practitioner 363LA2100X APRN11000698 FL Primary

Addresses

Primary practice location

851 Dunlawton Ave Ste 104
Port Orange, FL 32127

Mailing address

851 Dunlawton Ave Ste 104
Port Orange, FL 32127-4234
Phone (904) 333-4031

Other practice location 1

237 Hawthorn Hedge Ln
Jacksonville, FL 32259-4810
Phone (904) 333-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 27, 2024 through Sep 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH12138FLMDChiropractor
9176378FLMDGeneral Practice Registered Nurse
APRN11000698FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1275719890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 DUNLAWTON AVE STE 104",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274234",
            "telephone_number": "904-333-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 DUNLAWTON AVE STE 104",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "904-333-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Hawthorn Hedge Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322594810",
            "country_code": "US",
            "telephone_number": "904-333-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOTTEL",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12138",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9176378",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11000698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.