Individual provider Active NPI

Jennifer Guldager, PA-C

  • Physician Assistant
  • North Palm Beach, FL
National Provider Identifier
1538679535
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110691 Issued in FL
Practice address
11951 US Highway 1 Ste 108
North Palm Beach, FL 33408
Phone
(561) 429-6109
NPI assigned
Oct 4, 2017
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 PA9110691 FL Primary

Addresses

Primary practice location

11951 US Highway 1 Ste 108
North Palm Beach, FL 33408

Mailing address

11951 US Highway 1 Ste 108
North Palm Beach, FL 33408-2804

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
I20180306001772 FL Practitioner - Physician Assistant 0042571101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

11800 S Military TRL
Suite 105
Golf, FL 33436-5506
Phone (561) 264-2280

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

1625 S Federal Hwy
Boynton Beach, FL 33435-6953
Phone (561) 945-0544

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

2272 N Congress Ave
Boynton Beach, FL 33426-8604
Phone (561) 737-1927

2502 N State Rd
Suite 7
Hollywood, FL 33021-3205
Phone (954) 894-7955

415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5528
Phone (954) 457-4333

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5216 N Federal Hwy
Ft. Lauderdale, FL 33308-3202
Phone (954) 958-5858

5817 N University Dr
Tamarac, FL 33321-4633
Phone (954) 720-1111

6699 W Boynton Beach Blvd
Boynton Beach, FL 33437-3527
Phone (561) 734-4210

7007 W Broward Blvd
Unit 5
Plantation, FL 33317-2208
Phone (954) 791-3636

9060 N Military TRL
Palm Beach Gardens, FL 33410-5972
Phone (561) 622-2442

9650 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone (954) 885-9009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110691FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Mar 4, 2024 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

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.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1538679535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 108",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 108",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-429-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULDAGER",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.