Individual provider Active NPI

James M. Emerson Jr., PAC

  • Surgical Physician Assistant
  • Lakeland, FL
National Provider Identifier
1336117993
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2610 Issued in FL
Practice address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone
(863) 687-1321
Fax
(863) 284-1730
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 8082 WI
Surgical Physician Assistant 363AS0400X PA2610 FL Primary

Addresses

Primary practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

1324 Lakeland Hills Blvd.
Attn: Managed Care Dept.
Lakeland, FL 33805

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other names 1

  • James Marc Enerson Jr. Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SD, MO, WI, MI, VA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040917000790 FL Practitioner - Physician Assistant 2466420476 Reassigns benefits to 1 organization
I20190809002867 SD Practitioner - Physician Assistant 2466420476 Reassigns benefits to 1 organization
I20240419001011 MO Practitioner - Physician Assistant 2466420476 Reassigns benefits to 2 organizations
I20240422000728 WI Practitioner - Physician Assistant 2466420476 Reassigns benefits to 6 organizations
I20250502001205 MI Practitioner - Physician Assistant 2466420476 Reassigns benefits to 2 organizations
I20250912001642 VA Practitioner - Physician Assistant 2466420476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203

1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

Hospital & facility affiliations

  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8082WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Apr 18, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Apr 15, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 8, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 5, 2019 Accepting new patients
Winchester Medical Center Current Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 15, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Apr 15, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 8, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 15, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jun 5, 2019 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Apr 15, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Apr 15, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 18, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 18, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Apr 15, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Apr 15, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Apr 15, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 8, 2024 Accepting new patients
Winchester Medical Center CurrentSince Jun 16, 2025 Accepting new patients
Winchester Medical Center CurrentSince Jun 16, 2025 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Haven Emergency Physicians Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Healthpoint Medical Group Inc Past Accepting new patients
Winchester Medical Center Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Ste 2C
Springfield, MO 65804
Phone (417) 820-3919

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 320
Winchester, VA 22601

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 10

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1336117993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD.",
            "address_2": "ATTN: MANAGED CARE DEPT.",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1321",
            "fax_number": "863-284-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N OAK AVE",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "8082",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N OAK AVE",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "ENERSON",
            "middle_name": "MARC",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.