Individual provider Active NPI

Jules Adrien Niedermeyer, PA-C

  • Physician Assistant
  • Orange City, FL
National Provider Identifier
1548088743
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1360 Saxon Blvd
Orange City, FL 32763-8416
Phone
(386) 917-0074
NPI assigned
Sep 27, 2024
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 NU Primary

Addresses

Primary practice location

1360 Saxon Blvd
Orange City, FL 32763-8416

Mailing address

1084 Brielle CT
Oviedo, FL 32765-5402
Phone (203) 802-7022

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
I20241030003051 FL Practitioner - Physician Assistant 0446783310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone (386) 304-7320

1245 W Granada Blvd
Adventhealth Centra Care Ormond Beach
Ormond Beach, FL 32174-5914
Phone (386) 317-9055

1270 Palm Coast Pkwy NW
Adventhealth Centra Care Palm Coast
Palm Coast, FL 32137-4738
Phone (407) 200-2300

1360 Saxon Blvd
Orange City, FL 32763-8416
Phone (386) 917-0074

2293 S Woodland Blvd
Adventhealth Centra Care Deland
Deland, FL 32720-8633
Phone (386) 279-7010

3708 SW College Rd
Ocala, FL 34474-4441
Phone (352) 401-8401

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412

855 S US Hwy 17 92
Longwood, FL 32750-5581
Phone (407) 699-8400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Oct 7, 2024 Accepting new patients
Adventist Health System /Sunbelt, Inc. Physician Assistant CurrentSince Oct 7, 2024 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

1360 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-0074

3005 Daniels Rd
Winter Garden, FL 34787
Phone (407) 654-4965

Interoperability endpoints

  • Direct secure messaging: jniedermeyer4016153@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1548088743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 BRIELLE CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655402",
            "telephone_number": "203-802-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638416",
            "telephone_number": "386-917-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERMEYER",
        "first_name": "JULES",
        "middle_name": "ADRIEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.