Individual provider Active NPI

Dawn Marie Jaquish, FNP-C

  • Family Nurse Practitioner
  • Fort MC Coy, FL
National Provider Identifier
1811632607
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019547 Issued in FL
Practice address
15035 NE Highway 315
Fort MC Coy, FL 32134-2200
Phone
(352) 236-2525
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019547 FL Primary

Addresses

Primary practice location

15035 NE Highway 315
Fort MC Coy, FL 32134-2200

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439

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
I20220919000027 FL Practitioner - Nurse Practitioner 6103201785 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Starke Family Medical Center IncGroup PAC ID 0143207704, 13 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

175 N Lawrence Blvd
Keystone Heights, FL 32656-9351
Phone (352) 473-3199

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019547FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starke Family Medical Center Inc CurrentSince Mar 2, 2026 Accepting new patients
Adcs Care Management 2 Inc CurrentSince Mar 2, 2026 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Mar 2, 2026 Accepting new patients
Adcs Care Management 1 Inc CurrentSince Mar 2, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 2, 2026 Accepting new patients
Florida Medical Associates LLC CurrentSince Aug 4, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA CurrentSince Mar 2, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 2, 2026 Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

3135 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 404-6900

15035 NE Highway 315
Fort Mc Coy, FL 32134
Phone (352) 236-2525

175 N Lawrence Blvd
Keystone Heights, FL 32656
Phone (352) 473-3199

100 S Lawrence Blvd
Keystone Hgts, FL 32656
Phone (352) 473-9373

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

2014 S Orange Ave
Ste 100
Orlando, FL 32806
Phone (407) 603-3900

345 W Madison St
Starke, FL 32091
Phone (904) 964-5455

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1811632607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "727-322-3439",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15035 NE HIGHWAY 315",
            "city": "FORT MC COY",
            "state": "FL",
            "postal_code": "321342200",
            "telephone_number": "352-236-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUISH",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort MC Coy, FL

Sources for this page

Verify at the official NPI Registry.