Individual provider Active NPI

Jennifer Marie Astacio Gonzalez

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1285275784
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
71356 Issued in TN
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-6413
NPI assigned
Oct 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4351048748 MI
Emergency Medicine Physician 207P00000X 35.148826 OH
Emergency Medicine Physician 207P00000X ME169551 FL
Emergency Medicine Physician 207P00000X 71356 TN Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

730 Riverside Dr
Toledo, OH 43605-5607
Phone (787) 365-5885

Other practice location 1

718 N Macomb St
Monroe, MI 48162-7815
Phone (787) 365-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, VA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230720000343 OH Practitioner - Emergency Medicine 8921409798 Reassigns benefits to 3 organizations
I20240821000097 FL Practitioner - Emergency Medicine 8921409798 Reassigns benefits to 3 organizations
I20240926002606 VA Practitioner - Emergency Medicine 8921409798 Reassigns benefits to 1 organization
I20241211004067 TN Practitioner - Emergency Medicine 8921409798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000

502 W Highland Blvd
Citrus Memorial Hospital
Inverness, FL 34452-4720
Phone (352) 726-1551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
81.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148826OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jan 24, 2026 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Ashland Emergency Group LLC Emergency Medicine CurrentSince Aug 21, 2023 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
W4P LLC Emergency Medicine Past Accepting new patients

Locations

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Interoperability endpoints

  • Direct secure messaging: jastacio@yourcarecommunity.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jastaciogonzalez351358@direct.tgh.org

Organizations & group practices 10

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 4

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": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1285275784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 RIVERSIDE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436055607",
            "telephone_number": "787-365-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 N Macomb St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481627815",
            "country_code": "US",
            "telephone_number": "787-365-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASTACIO GONZALEZ",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4351048748",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.148826",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME169551",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "71356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.