Individual provider Active NPI

Jaclyn Carlisle Hoover, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Mary, FL
National Provider Identifier
1295399699
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4306 Issued in FL
Practice address
100 Waymont CT Ste 110
Lake Mary, FL 32746-3412
Phone
(407) 307-0006
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4306 FL Primary

Addresses

Primary practice location

100 Waymont CT Ste 110
Lake Mary, FL 32746-3412

Mailing address

100 Waymont CT Ste 110
Lake Mary, FL 32746-3412
Phone (407) 307-0006

Other practice location 1

1405 S Orange Ave Ste 600
Orlando, FL 32806-2117
Phone (407) 307-0006

Other identifiers 1

IdentifierTypeStateIssuer
114674600MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220611000046 FL Practitioner - Podiatry 9830577360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Foot and Ankle Institute, LLCGroup PAC ID 5698111243, 5 clinicians
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

100 Waymont CT
Suite 110
Lake Mary, FL 32746-3412
Phone (407) 307-0006

1200 Lexington Green LN
Sanford, FL 32771-1013

1405 S Orange Ave
Suite 600
Orlando, FL 32806-2117
Phone (407) 307-0006

4106 W Lake Mary Blvd
Suite 125
Lake Mary, FL 32746-3383
Phone (407) 307-0006

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions71
Removal of nail tissue382
Removal or shaving of skin growth75
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4306FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Foot and Ankle Institute, LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

4106 W Lake Mary Blvd
Ste 125
Lake Mary, FL 32746
Phone (321) 333-3668

100 Waymont Ct
Ste 110
Lake Mary, FL 32746
Phone (407) 307-0006

1405 S Orange Ave
Ste 600
Orlando, FL 32806
Phone (407) 307-0006

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.

Hospital & facility affiliations 3

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1295399699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WAYMONT CT STE 110",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463412",
            "telephone_number": "407-307-0006",
            "fax_number": "407-743-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WAYMONT CT STE 110",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463412",
            "telephone_number": "407-307-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 S Orange Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062117",
            "country_code": "US",
            "telephone_number": "407-307-0006",
            "fax_number": "407-743-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "JACLYN",
        "middle_name": "CARLISLE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114674600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.