Individual provider Active NPI

Natasha Gil, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1881164820
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9111534 Issued in FL
Practice address
13121 Atlantic Blvd Ste 100
Jacksonville, FL 32225-0102
Phone
(904) 221-2232
Fax
(844) 273-0912
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 9111534 FL Primary

Addresses

Primary practice location

13121 Atlantic Blvd Ste 100
Jacksonville, FL 32225-0102

Mailing address

13121 Atlantic Blvd Ste 100
Jacksonville, FL 32225-0102
Phone (904) 221-2232

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
I20221128002614 FL Practitioner - Physician Assistant 4183092919

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13121 Atlantic Blvd
Jacksonville, FL 32225-0102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9111534FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: pacificacare.natashagil@143695.advancedmd-direct.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1881164820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 ATLANTIC BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250102",
            "telephone_number": "904-221-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 ATLANTIC BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322250102",
            "telephone_number": "904-221-2232",
            "fax_number": "844-273-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "NATASHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.