Individual provider Active NPI

Amere Hooshmand, PA

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1801333570
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110745 Issued in FL
Practice address
2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762
Phone
(904) 634-0640
Fax
(904) 634-0203
NPI assigned
Jan 19, 2017
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 PA9110745 FL Primary

Addresses

Primary practice location

2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762

Mailing address

2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762
Phone (904) 634-0640

Other practice location 1

2954 Mallory Cir Ste 101
Celebration, FL 34747-1820
Phone (321) 939-0222 ext. 120

Other identifiers 1

IdentifierTypeStateIssuer
129911100MedicaidFL

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
I20171120002955 FL Practitioner - Physician Assistant 5890070775 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
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2954 Mallory Cir
Celebration, FL 34747-1820

2954 Mallory Cir
Suite 101
Celebration, FL 34747-1822
Phone (321) 939-0222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110745FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Celebration Orthopedic and Sports Medicine Institute Inc CurrentSince Oct 1, 2017 Accepting new patients
Celebration Orthopedic and Sports Medicine Institute Inc CurrentSince Oct 1, 2017 Accepting new patients

Locations

2400 N Orange Blossom Trl
Ste 100
Kissimmee, FL 34744

2954 Mallory Cir
Ste 101
Kissimmee, FL 34747
Phone 3219390222120

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1801333570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044762",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044762",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2954 Mallory Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347471820",
            "country_code": "US",
            "telephone_number": "321-939-0222 x120",
            "fax_number": "407-288-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOSHMAND",
        "first_name": "AMERE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129911100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.