Active NPI
Jessica Lynn Marshall, D.O.
- Surgery Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS17891
- Practice address
- 3 Adventhealth Way Ste 201
Palm Coast, FL 32137-4702 - Phone
- (386) 586-1840
- Fax
- (386) 586-1841
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS17891 | FL | Primary |
Addresses
Primary practice location
3 Adventhealth Way Ste 201
Palm Coast, FL 32137-4702
Mailing address
770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie Col of Osteopathic Medicine, Bradenton, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
- Adventhealth Palm Coast Parkway
- AdventHealth Palm Coast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 19 |
| Mastectomy | 14 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Surgery | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Surgery | Current | Accepting new patients |
| Memorial Hospital Flagler Inc. | Current | Accepting new patients | |
| Memorial Hospital Flagler Inc | Current | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Past | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients |
Locations
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
770 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 231-4519
61 Memorial Medical Pkwy
Ste 3806
Palm Coast, FL 32164
Phone (386) 437-7340
3 Adventhealth Way
#201
Palm Coast, FL 32137
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280
120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750
3 Adventhealth Way
Ste 201
Palm Coast, FL 32137
Phone (386) 586-1840
929 Gessner Rd
Ste 106
Houston, TX 77024
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jmarshall1446707@adventhealth.direct-ci.com
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
Surgery
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1992067649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W GRANADA BLVD STE 101",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ADVENTHEALTH WAY STE 201",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374702",
"telephone_number": "386-586-1840",
"fax_number": "386-586-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS17891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.