Individual provider Active NPI

Nicole Marie Najem, PA-C

  • Physician Assistant
  • Hudson, FL
National Provider Identifier
1598359408
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117497 Issued in FL
Practice address
7544 Jacque Rd
Hudson, FL 34667-7162
Phone
(727) 697-2200
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA9117497 FL Primary

Addresses

Primary practice location

7544 Jacque Rd
Hudson, FL 34667-7162

Mailing address

947 Oriental Gardens Rd
Jacksonville, FL 32207-4241
Phone (904) 742-3634

Other practice location 1

947 Oriental Gardens Rd
Jacksonville, FL 32207-4241
Phone (904) 742-3634

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
I20230920001987 FL Practitioner - Physician Assistant 1456705763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10221 Yale Ave
Weeki Wachee, FL 34613-8307
Phone (352) 596-0900

7544 Jacque Rd
Hudson, FL 34667-7162
Phone (727) 697-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
63.31
Promoting interoperability
96
Improvement activities
40
Cost
69.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9117497FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Bone and Joint Disease, PA CurrentSince Jul 1, 2023 Accepting new patients

Locations

7544 Jacque Rd
Hudson, FL 34667
Phone (727) 697-2200

5319 Grand Blvd
New Pt Richey, FL 34652
Phone (727) 220-2422

Interoperability endpoints

  • Direct secure messaging: nicole.najem@centerforboneandjoint.directbygreenway.com

Organizations & group practices 2

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.

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1598359408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 ORIENTAL GARDENS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074241",
            "telephone_number": "904-742-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677162",
            "telephone_number": "727-697-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 Oriental Gardens Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074241",
            "country_code": "US",
            "telephone_number": "904-742-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAJEM",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.