NPIMap

Individual provider Active NPI

Robert NMN Cain Jr., PA,PHD

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1952569303
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA911169 Issued in FL
Practice address
6015 118TH St
Jacksonville, FL 32244-3703
Phone
(904) 633-0610
NPI assigned
Jun 1, 2008
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 PA911169 FL Primary

Addresses

Primary practice location

6015 118TH St
Jacksonville, FL 32244-3703

Mailing address

762 Glorieta Dr
St Augustine, FL 32095-7489
Phone (619) 871-3252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191011001924 FL Practitioner - Physician Assistant 0143239327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6015 118TH St
Jacksonville, FL 32244-3703
Phone (604) 633-0610

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-7874

655 W 8TH St
Jacksonville, FL 32209-6511

Hospital & facility affiliations

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
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PA911169FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 5, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Dec 5, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 5, 2022 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients

Locations

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

6015 118th St
Jacksonville, FL 32244
Phone (904) 633-0610

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

Interoperability endpoints

  • Direct secure messaging: rcain603308@direct.shands.ufl.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1952569303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 GLORIETA DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320957489",
            "telephone_number": "619-871-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 118TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443703",
            "telephone_number": "904-633-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "ROBERT",
        "middle_name": "NMN",
        "name_suffix": "Jr.",
        "credential": "PA,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-01",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA911169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.