Individual provider Active NPI

Jessica Z Hahn, ARNP

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
National Provider Identifier
1568868271
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9277417 Issued in FL
Practice address
135 13TH Ave S
Jacksonville Beach, FL 32250-6421
Phone
(904) 627-2900
NPI assigned
Nov 6, 2014
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9277417 FL Primary

Addresses

Primary practice location

135 13TH Ave S
Jacksonville Beach, FL 32250-6421

Mailing address

5644 Mission Center Rd
San Diego, CA 92108-4328
Phone (321) 759-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150122000999 FL Practitioner - Nurse Practitioner 1658695648 Reassigns benefits to 2 organizations
I20160419002248 CA Practitioner - Nurse Practitioner 1658695648 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians IncGroup PAC ID 7911811435, 105 clinicians

Practice addresses (Care Compare)

1250 S 18TH St
BMC Nassau Ed
Fernandina Beach, FL 32034-1902
Phone (904) 321-3500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc CurrentSince Jul 1, 2024 Accepting new patients
Emergency Physicians of Central Florida LLP CurrentSince Dec 1, 2014 Accepting new patients
Emergency Physicians Inc CurrentSince Jul 1, 2024 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Sep 15, 2017 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Apr 4, 2016 Accepting new patients
Team Physicians of Northern California Medical Group Inc Nurse Practitioner CurrentSince Aug 19, 2016 Accepting new patients

Locations

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 461-4411

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

615 Ocean St
Santa Cruz, CA 95060
Phone (831) 425-7991

1513 Fremont Blvd
#E1
Seaside, CA 93955
Phone (831) 889-1910

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1568868271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 MISSION CENTER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084328",
            "telephone_number": "321-759-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 13TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506421",
            "telephone_number": "904-627-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JESSICA",
        "middle_name": "Z",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9277417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.