Active NPI
Jenna Marie Parker
- Surgical Physician Assistant
- Boca Raton, FL
National Provider Identifier
1467144337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9117722
- Practice address
- 7506 San Sebastian Dr
Boca Raton, FL 33433-1023 - Phone
- (561) 289-2412
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9117722 | FL | Primary |
Addresses
Primary practice location
7506 San Sebastian Dr
Boca Raton, FL 33433-1023
Mailing address
7506 San Sebastian Dr
Boca Raton, FL 33433-1023
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
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
Practice addresses (Care Compare)
1551 W Bay Dr
Suite 101
Largo, FL 33770-2209
Phone (727) 587-7111
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.25 of 100
- Quality
- 73.64
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 68.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Tampa Bay Physician Specialists, LLC | Current | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients |
Locations
1551 West Bay Dr
Ste 101
Largo, FL 33770
Phone (727) 314-8180
9332 State Road 54
Ste 405
Trinity, FL 34655
Phone (727) 375-8264
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Saint Petersburg, FL
- NPI 1801198023
-
- Surgery Physician
- Tampa, FL
- NPI 1528492287
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1467144337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7506 SAN SEBASTIAN DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334331023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7506 SAN SEBASTIAN DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334331023",
"telephone_number": "561-289-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JENNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9117722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.
- 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.