Jacklyn Alexis Xavier, P.A-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107442 Issued in FL

Practice address

3300 Dairy Rd
Titusville, FL 32796-1512

Phone

(321) 269-6530

Fax

(321) 269-2334

NPI assigned

Oct 3, 2013

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.55 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.99

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Brevard Medical Support, Inc

  dba Parrish Medical Group

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  Medicare reassignment
• Apogee Medical Group, Florida Inc

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1386916104

  FL

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1396172409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 DAIRY RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327961512",
            "telephone_number": "321-269-6530",
            "fax_number": "321-269-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 DAIRY RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327961512",
            "telephone_number": "321-269-6530",
            "fax_number": "321-269-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAVIER",
        "first_name": "JACKLYN",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Woodhouse, APRN
• Rachel L Worley, MD
• Michele Ann Worthington
• Laura Wrisley
• Richard Lynn Wurzler, D.C.
• Stephen H Yandel, DO
• Yash V Sachdev, MD, PA
• Nadine Zahreddine
• John Zambos, MD
• Kaitlin Ann Zambotti, APRN

• Medical Physician Assistant in Titusville, FL
• Providers in Titusville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.