Individual provider Active NPI

Jaclyn Waddey Newman, MD

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1821239880
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
82666 Issued in WI
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

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100255617MedicaidWI

Other names 1

  • Ms. Jaclyn Marie Waddey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141021000436 FL Practitioner - PsychiatryPractitioner - Internal Medicine 3577784396 Reassigns benefits to 3 organizations
I20231109000726 WI Practitioner - Psychiatry 3577784396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME 121294FLMDPsychiatry Physician
82666WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral Institute PLC Psychiatry CurrentSince Sep 10, 2014 Accepting new patients
Ocala Behavioral Health LLC CurrentSince Sep 30, 2019 Accepting new patients
Mental Health Emergency Center, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Memorial Family Practice Associates, LLC CurrentSince Dec 24, 2016 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

  • Direct secure messaging: jnewman268327@direct.rivhs.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.