Active NPI
Jennifer M. Hinton, P. A.
- Emergency Medical Services (Emergency Medicine) Physician
- Orange Park, FL
National Provider Identifier
1396794137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- PA9103166
- Practice address
- 1555 Kingsley Ave
Suite 503
Orange Park, FL 32073-9207 - Phone
- (904) 278-5088
- Fax
- (904) 264-4910
- NPI assigned
- May 9, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | PA9103166 | FL | Primary |
Addresses
Primary practice location
1555 Kingsley Ave
Suite 503
Orange Park, FL 32073-9207
Mailing address
998 Browns Rd
Middleburg, FL 32068-3306
Phone (904) 555-1212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00239935 | Other | FL | RAILROAD MEDICARE |
| 296833 | Other | FL | AVMED |
| Y05AG | Other | FL | BCBS |
Other names 1
- Jennifer M. Harris
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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103166 | FL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Past | Accepting new patients | |
| North Florida Surgeons, PA | Past | Accepting new patients | |
| Kingsley Avenue Emergency Physicians LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Orange Park, FL
- NPI 1679915300
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1396794137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 BROWNS RD",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320683306",
"telephone_number": "904-555-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 KINGSLEY AVE",
"address_2": "SUITE 503",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320739207",
"telephone_number": "904-278-5088",
"fax_number": "904-264-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTON",
"first_name": "JENNIFER",
"middle_name": "M.",
"credential": "P. A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "FL",
"license": "PA9103166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00239935",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "296833",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y05AG",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HARRIS",
"middle_name": "M.",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.