NPIMap

Individual provider Active NPI

Erica Lynn Sahlgren, P.A.

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1477692986
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104077 Issued in FL
Practice address
12276 San Jose Blvd Ste 210
Jacksonville, FL 32223-8631
Phone
(904) 717-9625
Fax
(904) 683-6499
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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 PA9104077 FL Primary

Addresses

Primary practice location

12276 San Jose Blvd Ste 210
Jacksonville, FL 32223-8631

Mailing address

3750 San Jose PL Ste 35
Jacksonville, FL 32257-8861

Other practice location 1

3750 San Jose Pl Ste 35
Jacksonville, FL 32257-8861
Phone (904) 902-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000581 FL Practitioner - Physician Assistant 2163525759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 Lomax St
Suite 1
Jacksonville, FL 32204-4004
Phone (904) 483-2310

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physician Specialists LLC CurrentSince Mar 15, 2023 Accepting new patients
Florida Physician Specialists LLC Past Accepting new patients
Health Consulting Associates LLC PastSince Oct 20, 2015 Accepting new patients
Prohealth Select, Inc. Physician Assistant PastSince Dec 17, 2020 Accepting new patients
Spine Institute on the Emerald Coast Past Accepting new patients

Locations

1860 Town Hall Cir
Fleming Island, FL 32003
Phone (904) 520-6800

710 Lomax St
Ste L
Jacksonville, FL 32204

710 Lomax St
Jacksonville, FL 32204
Phone (904) 355-6584

6816 Southpoint Pkwy
Ste 102
Jacksonville, FL 32216
Phone (904) 328-6749

8774 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 642-6100

14540 Old St Augustine Rd
Ste 2401
Jacksonville, FL 32258
Phone (904) 880-4054

1577 Roberts Dr
Ste 326
Jacksonville Beach, FL 32250
Phone (904) 270-2706

1715 Village Way
Orange Park, FL 32073
Phone (904) 264-8418

300 Saint Elizabeth Way
Ste 145
St Johns, FL 32259

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1477692986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 SAN JOSE PL STE 35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238631",
            "telephone_number": "904-717-9625",
            "fax_number": "904-683-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 San Jose Pl Ste 35",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578861",
            "country_code": "US",
            "telephone_number": "904-902-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHLGREN",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.