Individual provider Active NPI

Rachael Dominique Cardey, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1962964676
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111986 Issued in FL
Practice address
836 Prudential Dr Ste 1006
Jacksonville, FL 32207-8337
Phone
(904) 202-1795
Fax
(904) 376-3478
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 PA9111986 FL Primary

Addresses

Primary practice location

836 Prudential Dr Ste 1006
Jacksonville, FL 32207-8337

Mailing address

PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092

Other practice location 1

400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Phone (904) 202-1795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RKelly@fmmedical.net Direct

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
I20190508000022 FL Practitioner - Physician Assistant 2365784667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lyerly Baptist IncGroup PAC ID 9830112226, 72 clinicians

Practice addresses (Care Compare)

836 Prudential Dr
Suite 1006
Jacksonville, FL 32207-8337
Phone (904) 202-1795

Hospital & facility affiliations

  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9111986FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lyerly Baptist Inc Physician Assistant CurrentSince Mar 30, 2026 Accepting new patients
FM Medical Urgent Care, Inc. CurrentSince Jul 17, 2022 Accepting new patients
Baptist Primary Care Inc Physician Assistant Past Accepting new patients

Locations

836 Prudential Dr
Ste 1006
Jacksonville, FL 32207
Phone (904) 202-1795

400 Colonnade Dr
Ste 230
Ponte Vedra Beach, FL 32081
Phone (904) 202-1795

3560 A1A S
St Augustine Beach, FL 32080
Phone (904) 584-2273

Interoperability endpoints

  • Direct secure messaging: rkelly@fmmedical.net
  • Direct secure messaging: rkelly22586@baptisthealthsystemjacksonville.direct-ci.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.

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1962964676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746647",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746647",
            "telephone_number": "904-202-2092",
            "fax_number": "904-373-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR STE 1006",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078337",
            "telephone_number": "904-202-1795",
            "fax_number": "904-376-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Colonnade Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816237",
            "country_code": "US",
            "telephone_number": "904-202-1795",
            "fax_number": "904-376-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDEY",
        "first_name": "RACHAEL",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RKelly@fmmedical.net",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3560 A1A S",
            "city": "Saint Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320809731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.