Active NPI
Jennifer Michelle Scott, PA-C
- Physician Assistant
- St Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113674
- Practice address
- 30 Ardisia LN
St Johns, FL 32259-3881 - Phone
- (904) 287-2794
- Fax
- (904) 390-7458
- NPI assigned
- Aug 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9113674 | FL | |
| Physician Assistant | 363A00000X | PA9113674 | FL | Primary |
Addresses
Primary practice location
30 Ardisia LN
St Johns, FL 32259-3881
Mailing address
PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
120 Gateway Cir
Unit 1
Jacksonville, FL 32259-4083
Phone (904) 824-4407
1310 County Rd 210
St Johns, FL 32259
Phone (904) 824-4407
1400 Bishop Estates Rd
Jacksonville, FL 32259-4244
Phone (904) 287-2794
1660 Prudential Dr
Suite 201
Jacksonville, FL 32207-8185
Phone (904) 202-4222
1660 Prudential Dr
Suite 310
Jacksonville, FL 32207-8197
Phone (904) 396-8656
1660 Prudential Dr
Suite 400
Jacksonville, FL 32207-8188
Phone (904) 396-0000
30 Ardisia Lane
St Johns, FL 32259
Phone (904) 287-2794
3563 Phillips Hwy 101
Jacksonville, FL 32207
550 Durbin Pavilion Dr
Suite G101
St Johns, FL 32259-4135
Phone (904) 770-2095
820 Prudential Dr
Suite 304
Jacksonville, FL 32207-8205
Phone (904) 202-3860
820 Prudential Dr
Suite 515
Jacksonville, FL 32207-8207
Phone (904) 396-4886
836 Prudential Dr
Suite 105a
Jacksonville, FL 32207-8300
Phone (904) 202-4325
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113674 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc. | Current | Accepting new patients | |
| Baptist Primary Care Inc | Physician Assistant | Past | Accepting new patients |
| Family Care Partners Urgent Care, LLC | Past | Accepting new patients |
Locations
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
30 Ardisia Ln
St Johns, FL 32259
Phone (904) 287-2794
Interoperability endpoints
- janderson155647@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Physician Assistant
-
- Family Medicine Physician
- Ormond Beach, FL
- NPI 1326254962
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1790086593
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1386147882
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1952911299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746638",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746638",
"telephone_number": "904-202-1032",
"fax_number": "904-376-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ARDISIA LN",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322593881",
"telephone_number": "904-287-2794",
"fax_number": "904-390-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-02",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9113674",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.