Jennifer Lynn Neely, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110763 Issued in FL

Practice address

7800 W. Oakland Park Boulevard
S. 116
Sunrise, FL 33351

Phone

(954) 742-0306

NPI assigned

Nov 6, 2017

Last updated

Mar 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Thomas C Balshi MD PAGroup PAC ID 0840342952, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skin and Cancer Associates

  • Dermatology Physician
  • Plantation, FL
  • NPI 1427017292
  Medicare reassignment Care Compare group
• Thomas C Balshi MD PA

  • Procedural Dermatology Physician
  • Delray Beach, FL
  • NPI 1861628547
  Medicare reassignment Care Compare group
• Noor Dermatology and Aesthetics PLLC

  • Dermatology Physician
  • Cary, NC
  • NPI 1538868161
  Medicare reassignment
• Dermatology Consultants of S FL PA

  • Dermatology Physician
  • Coral Springs, FL
  • NPI 1629186523
  NPD (past)
• Skin and Cancer Associates

  • Dermatology Physician
  • Plantation, FL
  • NPI 1740737576
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1942713516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W. OAKLAND PARK BOULEVARD",
            "address_2": "S. 116",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-742-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W. OAKLAND PARK BOULEVARD",
            "address_2": "S. 116",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-742-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Navarro, D.O.
• John E Nawalanic, CRNA, MS
• Karen Diane Nayar, CRNA
• Rebecca J. Neal, CRNA
• Neck and Back Pain Treatment Center Inc.
• Josue Negron, CRNA
• Mariaisabel Negron
• Neighbormd of Sunrise LLC
• Melonie Neils, CNA
• Nelson Psychological Services, LLC

• Physician Assistant in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.