Individual provider Active NPI

Maria Alejandra Paredes, PA-C

  • Physician Assistant
  • Orange Park, FL
National Provider Identifier
1427386143
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105119 Issued in FL
Practice address
769 Blanding Blvd Ste 7
Orange Park, FL 32065-8700
Phone
(904) 458-4882
Fax
(904) 390-7456
NPI assigned
Nov 19, 2009
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105119 FL Primary

Addresses

Primary practice location

769 Blanding Blvd Ste 7
Orange Park, FL 32065-8700

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Other practice location 1

1201 Monument Road
Suite 201B
Jacksonville, FL 32225-7428
Phone (904) 727-5151

Other identifiers 1

IdentifierTypeStateIssuer
0016180-00MedicaidFL

Other names 1

  • Maria Alejandra Melendez Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100130000167 FL Practitioner - Physician Assistant 5092858050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

769 Blanding Blvd
Suite 7
Orange Park, FL 32065-8700
Phone (904) 458-4882

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Jun 3, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2014 Accepting new patients
Baptist Primary Care Inc Physician Assistant CurrentSince Jun 3, 2024 Accepting new patients
First Coast Cardiovascular Institute LLC Past Accepting new patients

Locations

1201 Monument Rd
Ste 201B
Jacksonville, FL 32225
Phone (904) 281-5878

2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

9560 Crosshill Blvd
Ste 110
Jacksonville, FL 32222
Phone (904) 203-1296

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

769 Blanding Blvd
Ste 7
Orange Park, FL 32065
Phone (904) 458-4882

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA
  • Direct secure messaging: maria.paredes.1@8967.direct.athenahealth.com
  • Direct secure messaging: mparedes180059@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1427386143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 BLANDING BLVD STE 7",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658700",
            "telephone_number": "904-458-4882",
            "fax_number": "904-390-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Monument Road",
            "address_2": "Suite 201B",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322257428",
            "country_code": "US",
            "telephone_number": "904-727-5151",
            "fax_number": "904-727-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016180-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MELENDEZ",
            "middle_name": "ALEJANDRA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.