Individual provider Active NPI

Jessica Zarou Dellorso, MPH, MMS, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1275883704
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110017 Issued in FL
Practice address
1660 Prudential Dr Ste 400
Jacksonville, FL 32207-8188
Phone
(904) 396-0000
Fax
(904) 390-7500
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110017 FL Primary

Addresses

Primary practice location

1660 Prudential Dr Ste 400
Jacksonville, FL 32207-8188

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Other names 1

  • Jessica T Zarou Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504002277 FL Practitioner - Physician Assistant 2668617366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1731 Wells Rd
Suite 120
Orange Park, FL 32073-2322
Phone (904) 376-4910

532 Riverside Ave
Suite 103
Jacksonville, FL 32202-4914
Phone (904) 353-5696

8789 San Jose Blvd
Suite 111
Jacksonville, FL 32217-4253
Phone (904) 376-3707

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Physician Assistant CurrentSince Apr 24, 2017 Accepting new patients
Baptist Primary Care Inc CurrentSince Apr 24, 2017 Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

3101 University Blvd S
Ste 102
Jacksonville, FL 32216
Phone (904) 737-1171

1660 Prudential Dr
Ste 400
Jacksonville, FL 32207
Phone (904) 396-0000

520 A1A N
Ste 101
Ponte Vedra Beach, FL 32082
Phone (904) 273-6900

Interoperability endpoints

  • Direct secure messaging: jdellorso22609@baptisthealthsystemjacksonville.direct-ci.com

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 1

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1275883704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 PRUDENTIAL DR STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078188",
            "telephone_number": "904-396-0000",
            "fax_number": "904-390-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLORSO",
        "first_name": "JESSICA",
        "middle_name": "ZAROU",
        "credential": "MPH, MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ZAROU",
            "middle_name": "T",
            "credential": "MPH, MMS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.