Active NPI
Jaclyn Waddey Newman, MD
- Psychiatry Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 82666
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 702-6353
- Fax
- (904) 702-6356
- NPI assigned
- Mar 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 121294 | FL | |
| Psychiatry Physician | 2084P0800X | 82666 | WI | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
1100 Clearwater Largo Road
Florida Behavioral Institute, PLC
Largo, FL 33770
Phone (727) 518-6444
Other practice location 1
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2579
Other practice location 2
1100 Clearwater Largo Road
FBI, Plc
Largo, FL 33770
Phone (423) 439-6283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255617 | Medicaid | WI |
Other names 1
- Ms. Jaclyn Marie Waddey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 78.57
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 121294 | FL | MD | Psychiatry Physician |
| 82666 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Behavioral Institute PLC | Psychiatry | Current | Accepting new patients |
| Ocala Behavioral Health LLC | Current | Accepting new patients | |
| Mental Health Emergency Center, Inc. | Current | Accepting new patients | |
| Memorial Family Practice Associates, LLC | Current | Accepting new patients |
Locations
1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444
1100 Clearwater Largo Rd N
Fl Behavioral
Largo, FL 33770
3130 SW 27th Ave
Ocala, FL 34471
Phone (352) 547-2081
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1525 N 12th St
Milwaukee, WI 53205
Phone (414) 966-3030
Interoperability endpoints
- jnewman268327@direct.rivhs.com
- jaclyn.newman@hca5.eclinicaldirectplus.com
Organizations & group practices 4
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
- Jacksonville, FL
- NPI 1598869844
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Largo, FL
- NPI 1770594665
Psychiatry
-
- Psychiatric Hospital
- Ocala, FL
- NPI 1548546864
-
- Psychiatric Hospital
- Milwaukee, WI
- NPI 1255099941
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1821239880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CLEARWATER LARGO ROAD",
"address_2": "FLORIDA BEHAVIORAL INSTITUTE, PLC",
"city": "LARGO",
"state": "FL",
"postal_code": "33770",
"telephone_number": "727-518-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-702-6353",
"fax_number": "904-702-6356"
}
],
"practiceLocations": [
{
"address_1": "2001 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735148",
"country_code": "US",
"telephone_number": "904-639-2579",
"fax_number": "904-639-8730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Clearwater Largo Road",
"address_2": "FBI, Plc",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "33770",
"country_code": "US",
"telephone_number": "423-439-6283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "JACLYN",
"middle_name": "WADDEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 121294",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "82666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255617",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "WADDEY",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.