Active NPI
Craig J Acosta, PA-C
- Surgical Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9104144
- Practice address
- 836 Prudential Dr
Ste 1804
Jacksonville, FL 32207 - Phone
- (904) 398-3888
- Fax
- (904) 400-6675
- NPI assigned
- Apr 14, 2006
- Last updated
- Dec 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9104144 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | 2025040000 | MO |
Addresses
Primary practice location
836 Prudential Dr
Ste 1804
Jacksonville, FL 32207
Mailing address
1824 King St Ste 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343
Other practice location 1
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-3960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000591100 | Medicaid | FL | |
| P00798356 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1235 E Cherokee St
2C SPRG Cardiothoracic Surgery Heart
Springfield, MO 65804-2203
Phone (417) 820-3960
1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343
836 Prudential Dr
Suite 1804
Jacksonville, FL 32207-8345
Phone (904) 398-3888
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7031 | NY | MD | Chiropractor |
| 2025040000 | MO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Advanced Cardiac Surgical Associates, PLLC | Past | Accepting new patients | |
| Baptist MD Anderson Cancer Physicians Inc | Past | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
1235 E Cherokee St
Ste 2C
Springfield, MO 65804
Phone (417) 820-3919
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- craigacosta@cvsapa.allscriptsdirect.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
dba Baptist Oncology Services Inc
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1609286897
-
- Plastic Surgery Physician
- Williamsville, NY
- NPI 1568468551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1467416479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 KING ST STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044736",
"telephone_number": "904-384-3343",
"fax_number": "904-400-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DR",
"address_2": "STE 1804",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32207",
"telephone_number": "904-398-3888",
"fax_number": "904-400-6675"
}
],
"practiceLocations": [
{
"address_1": "1235 E Cherokee St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658042203",
"country_code": "US",
"telephone_number": "417-820-3960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA",
"first_name": "CRAIG",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9104144",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MO",
"license": "2025040000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000591100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00798356",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.