Active NPI
Jeanine M Darquea, PA-C
- Physician Assistant
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100687
- Practice address
- 3319 S State Road 7 Ste 102
Wellington, FL 33449 - Phone
- (561) 333-4000
- Fax
- (561) 333-8851
- NPI assigned
- Oct 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100687 | FL | Primary |
Addresses
Primary practice location
3319 S State Road 7 Ste 102
Wellington, FL 33449
Mailing address
367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (561) 333-4000
Other practice location 1
1021 N State Road 7
MedExpress Urgent Care
Royal Palm Beach, FL 33411-5117
Phone (561) 333-9331
Other practice location 2
13421 S Shore Blvd Ste 101
Wellington, FL 33414-7210
Phone (561) 440-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050228000608 | FL | Practitioner - Physician Assistant | 6406809656 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9100687 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients | |
| North Ridge Emergency Physicians, PA | Past | Accepting new patients |
Locations
7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200
8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150
1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020
1021 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 296-5700
2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1366544728
FL
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1023067220
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1215986344
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
- Emergency Medicine Physician
- Oakland Park, FL
- NPI 1205830163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1285623918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S. GULPH RD",
"address_2": "ATTN: IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "561-333-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 S STATE ROAD 7 STE 102",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33449",
"telephone_number": "561-333-4000",
"fax_number": "561-333-8851"
}
],
"practiceLocations": [
{
"address_1": "1021 N State Road 7",
"address_2": "MedExpress Urgent Care",
"address_purpose": "LOCATION",
"city": "Royal Palm Beach",
"state": "FL",
"postal_code": "334115117",
"country_code": "US",
"telephone_number": "561-333-9331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13421 S Shore Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334147210",
"country_code": "US",
"telephone_number": "561-440-1616",
"fax_number": "561-440-2030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARQUEA",
"first_name": "JEANINE",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-15",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.