1. Home
  2. Directory
  3. Florida
  4. Leesburg
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JADA RYAN CARPENTER
NPI 1083539100
Physician Assistant in Leesburg, FL

Active since August 10, 2026PECOS Enrolled
600 E DIXIE AVE, LEESBURG, FL 34748(353) 323-5762 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2026, Sep 10, 2026, Aug 10, 2026 (3 updates tracked since 2026).

About Jada Ryan Carpenter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADA RYAN CARPENTER (NPI 1083539100) is an individual physician assistant in Leesburg, Florida, licensed in Florida (9122264) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083539100
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJADA RYAN CARPENTER
Location Address600 E DIXIE AVELeesburg, FL 34748-5925
Mailing Address6317 Domenico CtGroveland, FL 34736-2771 · (660) 322-1459
Phone(353) 323-5762
Sole ProprietorNo
Enumeration DateAugust 10, 2026
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1083539100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9122264
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
600 E DIXIE AVE, Leesburg, FL 34748
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jada Ryan Carpenter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NANCY REEVS PA-C
Physician Assistant
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 559-5051
MR. JARED SAINT JOHN APRN
Nurse Practitioner (Family)
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 273-8610
PREETI SHETH HAWALDAR MD
Anesthesiology
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-1062
LAKE COUNTY ANESTHESIA ASSOCIATES PA
Anesthesiology (Pain Medicine)
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 867-8898
SCOTT D. DOLL APRN
Nurse Practitioner (Family)
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-5762
BOGDAN GOGIOIU MD
Internal Medicine
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-5762
DR. ROBERT BERNARD MD
Physician Assistant
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (516) 444-1494
VICTORIA CATHERINE GREENWELL
Nurse Anesthetist, Certified Registered
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-5762

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 Jada Carpenter's NPI number?

The NPI number for Jada Carpenter is 1083539100. It was assigned to this individual provider in the NPPES registry on August 10, 2026.

Where is Jada Carpenter located?

Jada Carpenter practices at 600 E Dixie Ave, Leesburg, FL 34748. The listed phone number is (353) 323-5762.

What is Jada Carpenter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jada Carpenter enrolled in Medicare?

Yes. Jada Carpenter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jada Carpenter was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.