Active NPI
Dawn Marie Jaquish, FNP-C
- Family Nurse Practitioner
- Fort MC Coy, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11019547
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11019547 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starke Family Medical Center Inc | Current | Accepting new patients | |
| Adcs Care Management 2 Inc | Current | Accepting new patients | |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients | |
| Adcs Care Management 1 Inc | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | 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.
-
- Family Medicine Physician
- Starke, FL
- NPI 1487727038
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
- 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.