Individual provider Active NPI

Jessica Robinson Taft, PA-C

  • Physician Assistant
  • Palm Coast, FL
National Provider Identifier
1619332723
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109337 Issued in FL
Practice address
1270 Palm Coast Pkwy NW
Palm Coast, FL 32137-4738
Phone
(386) 225-4631
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 PA9109337 FL Primary

Addresses

Primary practice location

1270 Palm Coast Pkwy NW
Palm Coast, FL 32137-4738

Mailing address

5581 Pacific Blvd Apt 3702
Boca Raton, FL 33433-6726

Other names 1

  • Jessica Margaret Robinson Former name

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
I20170907003191 FL Practitioner - Physician Assistant 9830462100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
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

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

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9109337FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Jul 20, 2017 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Jul 20, 2017 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

1270 Palm Coast Pkwy NW
Palm Coast, FL 32137
Phone (386) 225-4631

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Interoperability endpoints

  • Direct secure messaging: jtaft283974@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 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": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1619332723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 PACIFIC BLVD APT 3702",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PALM COAST PKWY NW",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374738",
            "telephone_number": "386-225-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "JESSICA",
        "middle_name": "ROBINSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROBINSON",
            "middle_name": "MARGARET",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.