Active NPI
Jennifer Ann Patton, PA-C
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117317
- Practice address
- 10601 San Jose Blvd Ste 1404
Jacksonville, FL 32257-8232 - Phone
- (904) 202-9204
- Fax
- (904) 390-7462
- NPI assigned
- Jul 26, 2019
- Last updated
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9117317 | FL | Primary |
| Physician Assistant | 363A00000X | MA060583 | PA |
Addresses
Primary practice location
10601 San Jose Blvd Ste 1404
Jacksonville, FL 32257-8232
Mailing address
PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10240 San Jose Blvd
Jacksonville, FL 32257-6203
Phone (904) 262-9204
10601 San Jose Blvd
Jacksonville, FL 32257-8232
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.31 of 100
- Quality
- 55.01
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117317 | FL | MD | Physician Assistant |
| MA060583 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Baptist Primary Care Inc | Family Medicine | Current | Accepting new patients |
| St Joseph Regional Health Network | Past | Accepting new patients | |
| St Joseph Regional Health Network | Past | Accepting new patients | |
| Baptist Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
10601 San Jose Blvd
Ste 1404
Jacksonville, FL 32257
Phone (904) 202-9204
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
Interoperability endpoints
- jpatton248871@baptisthealthsystemjacksonville.direct-ci.com
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1427239474
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1932381217
-
dba St Joseph Health Network at Muhlenberg Township
- Urgent Care Clinic/Center
- Temple, PA
- NPI 1255790739
-
dba Penn State Health St Joseph
- General Acute Care Hospital
- Reading, PA
- NPI 1699734665
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1588218739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746638",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746638",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 SAN JOSE BLVD STE 1404",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578232",
"telephone_number": "904-202-9204",
"fax_number": "904-390-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117317",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.