Individual provider Active NPI

Jessica Regina Pazos, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1619419876
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5658 Issued in SC
Practice address
777 Glades Rd
Boca Raton, FL 33431-6496
Phone
(561) 279-3512
Fax
(575) 646-6429
NPI assigned
Nov 4, 2016
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9116741 FL
Physician Assistant 363A00000X PA11694 TX
Physician Assistant 363A00000X PA2021-0083 NM
Physician Assistant 363A00000X 5658 SC Primary

Addresses

Primary practice location

777 Glades Rd
Boca Raton, FL 33431-6496

Mailing address

777 Glades Rd
Boca Raton, FL 33431-6496
Phone (561) 279-3512

Other practice location 1

132 Sunset Ct
West Columbia, SC 29169-2429
Phone (803) 936-7450

Other names 1

  • Jessica Regina Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20260303001155 SC Practitioner - Physician Assistant 5597023184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psynergy Health Med PLLCGroup PAC ID 0749714707, 35 clinicians

Practice addresses (Care Compare)

Blythewood, SC 29016
Phone (407) 802-1060

6650 Rivers Ave
Suite 100
North Charleston, SC 29406-4809
Phone (407) 469-5088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9116741FLMDPhysician Assistant
PA2021-0083NMMDPhysician Assistant
PA11694TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Health Med PLLC CurrentSince Feb 1, 2026 Accepting new patients
Florida Atlantic University Past Accepting new patients
Florida Atlantic University Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1619419876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316496",
            "telephone_number": "561-279-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316496",
            "telephone_number": "561-279-3512",
            "fax_number": "575-646-6429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Sunset Ct",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291692429",
            "country_code": "US",
            "telephone_number": "803-936-7450",
            "fax_number": "803-936-7452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZOS",
        "first_name": "JESSICA",
        "middle_name": "REGINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9116741",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11694",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2021-0083",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ADAMS",
            "middle_name": "REGINA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.