Individual provider Active NPI

Jakob M Warpinski-Bitting, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1902491301
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114053 Issued in FL
Practice address
280 Dundas Dr
Jacksonville, FL 32218-5517
Phone
(904) 751-4906
Fax
(904) 621-0566
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X PA9114053 FL
Surgical Physician Assistant 363AS0400X PA9114053 FL
Physician Assistant 363A00000X PA9114053 FL Primary

Addresses

Primary practice location

280 Dundas Dr
Jacksonville, FL 32218-5517

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331

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
I20210524000319 FL Practitioner - Physician Assistant 7113326257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

1564 Kingsley Ave
Suite 300
Orange Park, FL 32073-4521
Phone (904) 264-8801

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

421 Kingsley Ave
Orange Park, FL 32073-4898

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA Physician Assistant CurrentSince Sep 19, 2022 Accepting new patients
Physicians Group Services PA Physician Assistant CurrentSince Sep 19, 2022 Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906

2700 Riverside Ave
Ste 2
Jacksonville, FL 32205
Phone (904) 264-8801

1361 13th Ave S
Ste 250A
Jacksonville Beach, FL 32250
Phone (904) 310-6479

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

Interoperability endpoints

  • Direct secure messaging: jakob.warpinski-bitting.1@25110.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1902491301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DUNDAS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185517",
            "telephone_number": "904-751-4906",
            "fax_number": "904-621-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARPINSKI-BITTING",
        "first_name": "JAKOB",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "PA9114053",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9114053",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.