Individual provider Active NPI

Jennifer L Smigiera, P.A.-C

  • Surgical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1619952934
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9103594 Issued in FL
Practice address
10 Pasadena Ave N
St Petersburg, FL 33710-8330
Phone
(727) 381-2500
Fax
(727) 343-8746
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9103594 FL Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X PA9103594 FL

Addresses

Primary practice location

10 Pasadena Ave N
St Petersburg, FL 33710-8330

Mailing address

PO Box 40658
St Petersburg, FL 33743-0658
Phone (727) 381-2500

Other practice location 1

348 Bunker Hill Dr
Pensacola, FL 32506-5630
Phone (769) 243-6141

Other identifiers 1

IdentifierTypeStateIssuer
PA9103594OtherFLLICENSE

Other names 1

  • Jennifer Misechok 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
I20060112000611 FL Practitioner - Physician Assistant 7113940487 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC Undersea and Hyperbaric Medicine CurrentSince Mar 10, 2011 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
Wound Technology Network Past Accepting new patients
Silver Wings Independence at Home LLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1619952934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40658",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430658",
            "telephone_number": "727-381-2500",
            "fax_number": "727-343-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PASADENA AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108330",
            "telephone_number": "727-381-2500",
            "fax_number": "727-343-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 Bunker Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325065630",
            "country_code": "US",
            "telephone_number": "769-243-6141",
            "fax_number": "601-510-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIGIERA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103594",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "PA9103594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9103594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MISECHOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.