Individual provider Active NPI

Judive Jocelyn, D.O

  • Legal Medicine
  • Belleview, FL
National Provider Identifier
1922027341
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
OS9039 Issued in FL
Practice address
10762 SE US Highway 441
Belleview, FL 34420-3805
Phone
(352) 347-5225
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X OS9039 FL Primary

Addresses

Primary practice location

10762 SE US Highway 441
Belleview, FL 34420-3805

Mailing address

10762 SE US Highway 441
Belleview, FL 34420-3805
Phone (352) 347-5225

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000856 FL Practitioner - Family PracticePractitioner - General Practice 6305886854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

1833 Boulevard Ave
Jacksonville, FL 32206-4394
Phone (904) 383-1040

Hospital & facility affiliations

  • Uf Health Home Care - Jacksonville Home health agency, Jacksonville, FL, CCN 107125
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 21, 2014 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 21, 2014 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jul 21, 2014 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Express Care of Belleview, LLC Past Accepting new patients
Paul D Jayachandra M D P a Past Accepting new patients
Florida Family Physicians LLC Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1833 Boulevard
Jacksonville, FL 32206
Phone (904) 244-3289

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

Interoperability endpoints

  • Direct secure messaging: jjocelyn151389@direct.shands.ufl.edu

Organizations & group practices 7

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 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922027341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10762 SE US HIGHWAY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-347-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10762 SE US HIGHWAY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-347-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCELYN",
        "first_name": "JUDIVE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "OS9039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

Verify at the official NPI Registry.