Wesley Alexander Jackson

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006736 Issued in PA

Practice address

1361 13TH Ave S Ste 120
Jacksonville Beach, FL 32250-3260

Phone

(904) 241-2655

Fax

(904) 249-2425

NPI assigned

Jun 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Wesley Alexander Jackson Professional name

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bruce J Levine DPM PAGroup PAC ID 8224066923, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Bruce J Levine DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
  • NPI 1700995537
  Medicare reassignment Care Compare group NPD
• Podiatry Associates of Florida, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
  • NPI 1255432746
  Medicare reassignment NPD
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Raleigh, NC
  • NPI 1073804712
  Medicare reassignment NPD
• Podiatry Associates of Florida Inc

  • Podiatrist
  • Jacksonville, FL
  • NPI 1417137183
  NPD
• Podiatry Associates of Florida Inc

  • Podiatrist
  • Jacksonville Beach, FL
  • NPI 1578664074
  NPD
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Concord, NC
  • NPI 1255213997
  NPD
• Podiatry Associates of Florida Inc

  • Podiatrist
  • Jacksonville, FL
  • NPI 1457432387
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of the Southeast, LLC

  • Home Health Agency
  • Clearwater, FL
  • NPI 1134535545
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1285085357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 TIMUQUANA RD UNIT 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107897",
            "telephone_number": "904-251-5053",
            "fax_number": "904-224-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 120",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503260",
            "telephone_number": "904-241-2655",
            "fax_number": "904-249-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WESLEY",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2024-04-17",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WESLEY",
            "last_name": "JACKSON",
            "middle_name": "ALEXANDER",
            "prefix": "DR.",
            "credential": "DMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Integrative Healthcare Solutions, Inc
• Integrative Wellness Center of Jacksonville
• Donna Ray Iverson, ARNP - BC
• Shiro Iwae, PT
• Sherri K Jackson, APRN
• Jacksonville Acupuncture Wellness, PA
• Jacksonville Beach Surgery Center, LLC
• Jacksonville Beaches Anesthesia Associates, Inc.
• Jacksonville Beaches Medical Imaging Inc
• Jacksonville Lung Clinic LLC

• Foot & Ankle Surgery Podiatrist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.