Individual provider Active NPI

Jared Battistoni, PA

  • Physician Assistant
  • Clermont, FL
National Provider Identifier
1821322926
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113462 Issued in FL
Practice address
2020 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1902
Phone
(352) 242-0404
Fax
(352) 242-0877
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 PA9113462 FL Primary

Addresses

Primary practice location

2020 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1902

Mailing address

2020 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1902
Phone (352) 242-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091013000016 NY Practitioner - Physician Assistant 0547306193 Reassigns benefits to 1 organization
I20210301000556 FL Practitioner - Physician Assistant 0547306193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Business Alliance IncGroup PAC ID 3678657533, 13 clinicians

Practice addresses (Care Compare)

2020 Oakley Seaver Dr
Clermont, FL 34711-1902

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
92.99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013536NYMDMental Health Counselor

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 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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1821322926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OAKLEY SEAVER DR STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111902",
            "telephone_number": "352-242-0404",
            "fax_number": "352-242-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OAKLEY SEAVER DR STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111902",
            "telephone_number": "352-242-0404",
            "fax_number": "352-242-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTISTONI",
        "first_name": "JARED",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.