JAYME M PETERSON PAC
NPI 1063588135
Physician Assistant in Melbourne, FL
About Jayme M Peterson Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAYME M PETERSON PAC (NPI 1063588135) is an individual physician assistant in Melbourne, Florida, licensed in Florida (PA 9103306) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jayme M Peterson Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MELBOURNE, FL 32935
MELBOURNE, FL 32935
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 Jayme Peterson's NPI number?
The NPI number for Jayme Peterson is 1063588135. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is Jayme Peterson located?
Jayme Peterson practices at 2080 W Eau Gallie Blvd Suite A, Melbourne, FL 32935. The listed phone number is (321) 254-6218.
What is Jayme Peterson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jayme Peterson enrolled in Medicare?
Yes. Jayme Peterson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jayme Peterson was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Jayme M Peterson, PAC · NPI 1063588135
Physician Assistant physician in Melbourne, Florida. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1063588135 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA 9103306 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2080 W EAU GALLIE BLVD, SUITE A, Melbourne, FL 32935-3185
- **Phone:** (321) 254-6218 · **Fax:** (321) 254-6230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 15, 2012
- **Other identifiers:** Medicare ID-Type Unspecified U5819Z (FL); Medicare UPIN P56444 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1063588135) · Data from the CMS NPPES public registry.