ERIC ALEE VANCE QUALKENBUSH MD
NPI 1033865480
Urology in Jacksonville, FL
About Eric Alee Vance Qualkenbush Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC ALEE VANCE QUALKENBUSH MD (NPI 1033865480) is an individual urology provider in Jacksonville, Florida, licensed in Florida (ME163786) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eric Alee Vance Qualkenbush Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Eric Qualkenbush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eric Qualkenbush's NPI number?
The NPI number for Eric Qualkenbush is 1033865480. It was assigned to this individual provider in the NPPES registry on February 24, 2022.
Where is Eric Qualkenbush located?
Eric Qualkenbush practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Eric Qualkenbush's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Eric Qualkenbush enrolled in Medicare?
Yes. Eric Qualkenbush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Eric Qualkenbush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Qualkenbush reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Qualkenbush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eric Qualkenbush accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Eric Qualkenbush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Eric Qualkenbush affiliated with any hospitals?
According to CMS data, Eric Qualkenbush is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Eric Qualkenbush was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eric Alee Vance Qualkenbush, MD · NPI 1033865480
Urology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since February 24, 2022.
## Identity
- **NPI:** 1033865480 (Entity type: Individual)
- **Enumerated:** February 24, 2022
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** ME163786 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033865480) · Data from the CMS NPPES public registry.