Individual provider Active NPI

Audrey O'Keefe Misel, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1508271123
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110875
Practice address
10475 Centurion Pkwy N Ste 302
Jacksonville, FL 32256-5004
Phone
(904) 398-5437
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110875 FL
Physician Assistant 363A00000X PA9110875 Primary
Medical Physician Assistant 363AM0700X MA056991 PA

Addresses

Primary practice location

10475 Centurion Pkwy N Ste 302
Jacksonville, FL 32256-5004

Mailing address

1800 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4222
Phone (727) 865-4288

Other identifiers 1

IdentifierTypeStateIssuer
103156877MedicaidPA

Other names 1

  • Audrey O'Keefe 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
I20180228000314 FL Practitioner - Physician Assistant 9830318328 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110875FLMDPhysician Assistant
MA056991PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Jan 22, 2018 Accepting new patients
Florida Pediatric Associates LLC CurrentSince Nov 5, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 22, 2018 Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients
John Drygas LLC Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

4168 Southpoint Pkwy S
Ste 200
Jacksonville, FL 32216
Phone (904) 562-1401

10475 Centurion Pkwy N
Ste 302
Jacksonville, FL 32256
Phone (904) 398-5437

836 Prudential Dr
Ste 807
Jacksonville, FL 32207
Phone (904) 202-8290

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1508271123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044222",
            "telephone_number": "727-865-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CENTURION PKWY N STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565004",
            "telephone_number": "904-398-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISEL",
        "first_name": "AUDREY",
        "middle_name": "O'KEEFE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110875",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA9110875",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103156877",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "O'KEEFE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.