Active NPI
Jennifer M Qadir, PA-C
- Physician Assistant
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105613
- Practice address
- 2100 SE Hillmoor Dr Ste 101
Port St Lucie, FL 34952-8057 - Phone
- (561) 262-8785
- NPI assigned
- Nov 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105613 | FL | Primary |
Addresses
Primary practice location
2100 SE Hillmoor Dr Ste 101
Port St Lucie, FL 34952-8057
Mailing address
612 SE Flamingo Ave
Stuart, FL 34996-3249
Phone (561) 262-8785
Other practice location 1
444 W Fort St Fl 2
Boise, ID 83702-4535
Phone (208) 422-1018
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 SE Hillmoor Dr
Suite 101
Port St Lucie, FL 34952-8057
Phone (561) 262-8785
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105613 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Care and Wellness PLLC | Physician Assistant | Current | Accepting new patients |
Locations
2100 SE Hillmoor Dr
Ste 101
Port St Lucie, FL 34952
Phone (561) 262-8785
Organizations & group practices 1
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.
-
- Physician Assistant
- Port St Lucie, FL
- NPI 1760367452
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": "1289433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1639470347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 SE FLAMINGO AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349963249",
"telephone_number": "561-262-8785",
"fax_number": "800-878-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE HILLMOOR DR STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349528057",
"telephone_number": "561-262-8785"
}
],
"practiceLocations": [
{
"address_1": "444 W Fort St Fl 2",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837024535",
"country_code": "US",
"telephone_number": "208-422-1018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QADIR",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-11",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Pulmonary Medical Associates PA
- Ava Carla Pupuhi
- Karen Petula Purkiss, PHARMD
- Emily Helene Putney, D.O.
- Bernard S Putter, MD
- Quality Care Assisted Living of the Treasure Coast Inc. (Quality Care 2)
- Quality Home Health
- Quality Nurse Registry LLC (Enhance Home Care Services Inc.)
- Quality Performance Rehabilitation Inc.
- Quality Performance Rehabilitation, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.