Individual provider Active NPI

Jacqueline Noelle Schroeder, PA

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1427810043
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA911841 Issued in FL
Practice address
3417 N 12TH Ave
Pensacola, FL 32503-4008
Phone
(448) 227-5700
NPI assigned
Jan 29, 2024
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 PA911841 FL Primary

Addresses

Primary practice location

3417 N 12TH Ave
Pensacola, FL 32503-4008

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 352-9500

Other practice location 1

5115 N Palafox St
Pensacola, FL 32505-2932
Phone (850) 378-8773 ext. 2

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
I20240326000264 FL Practitioner - Physician Assistant 7810334927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

3417 N 12TH Ave
Pensacola, FL 32503-4008
Phone (850) 432-7310

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA911841FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Urgent Care & Wellness PL CurrentSince Jul 9, 2024 Accepting new patients
Baptist Medical Group LLC CurrentSince Apr 15, 2025 Accepting new patients
Baptist Medical Group LLC CurrentSince Apr 15, 2025 Accepting new patients

Locations

514 Mary Esther Cut Off NW
Ft Walton Bch, FL 32548
Phone (850) 226-8550

3417 N 12th Ave
Pensacola, FL 32503
Phone (850) 432-7310

5115 N Palafox St
Pensacola, FL 32505
Phone (850) 378-8773

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1427810043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-352-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034008",
            "telephone_number": "448-227-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 N Palafox St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325052932",
            "country_code": "US",
            "telephone_number": "850-378-8773 x2",
            "fax_number": "850-807-5362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JACQUELINE",
        "middle_name": "NOELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA911841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.