Active NPI
Jennifer L Smigiera, P.A.-C
- Surgical Physician Assistant
- St Petersburg, FL
National Provider Identifier
1619952934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9103594
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9103594 | Other | FL | LICENSE |
Other names 1
- Jennifer Misechok
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nautilus Health Care Group, LLC | Undersea and Hyperbaric Medicine | Current | 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
-
- Infectious Disease Physician
- Orlando, FL
- NPI 1962601393
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Geriatric Medicine (Family Medicine) Physician
- Pinellas Park, FL
- NPI 1407128234
-
- Podiatrist
- Hollywood, FL
- NPI 1831397041
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.