MARY TICE PA
NPI 1073594206
Physician Assistant in Jacksonville, FL
About Mary Tice Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY TICE PA (NPI 1073594206) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9102441) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Tice Pa 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.
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.
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.
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.
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 Mary Tice's NPI number?
The NPI number for Mary Tice is 1073594206. It was assigned to this individual provider in the NPPES registry on November 5, 2005.
Where is Mary Tice located?
Mary Tice practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Mary Tice's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mary Tice enrolled in Medicare?
Yes. Mary Tice 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.
Is Mary Tice affiliated with any hospitals?
According to CMS data, Mary Tice is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Mary Tice was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
