Jason Andrew Christison, APRN
Individual provider Active NPI Nurse Practitioner · Pace, FL
NPI 1316525322 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1316525322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11012606 (FL)
- Practice address
- 4515 Chumuckla Hwy
Pace, FL 32571-1001 - Phone
- (850) 889-8181
- Fax
- (866) 333-5829
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210520000204 | FL | Practitioner - Nurse Practitioner | 5890194096 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11012606 | FL | Yes |
Addresses
Primary practice location
4515 Chumuckla Hwy
Pace, FL 32571-1001
Mailing address
4515 Chumuckla Hwy
Pace, FL 32571-1001
Phone (850) 889-8181
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.