JESSICA EADS
NPI 1093675639
Nurse Practitioner - Adult Health in Palm Coast, FL

Q: What is Jessica Eads's NPI number?

The NPI number for Jessica Eads is 1093675639. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Q: What is Jessica Eads's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Eads was last updated on July 8, 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.

Active since November 17, 2025PECOS Enrolled

80 PINNACLES DR STE 700, PALM COAST, FL 32164(386) 387-8500(386) 387-8511 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Nov 17, 2025 (2 updates tracked since 2025).

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About Jessica Eads NPPES

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

JESSICA EADS (NPI 1093675639) is an individual adult health provider in Palm Coast, Florida, licensed in Florida (APRN11048965) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orangeburg.

NPPES Registry Identity

NPI1093675639

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJESSICA EADS

Location Address80 PINNACLES DR STE 700Palm Coast, FL 32164-2915

Mailing Address7751 Belfort Pkwy Ste 350Jacksonville, FL 32256-6951 · (904) 363-7453 · Fax (904) 538-3672

Phone(386) 387-8500

Fax(386) 387-8511

Sole ProprietorNo

Enumeration DateNovember 17, 2025

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1093675639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11048965

Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License 253073 (SC)

80 PINNACLES DR STE 700, Palm Coast, FL 32164

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Secondary Practice Location 1

Location 13000 Saint Matthews RdOrangeburg, SC 29118-1442 · Phone (803) 395-2291

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Eads 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 32164 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKSHMI BOYAPATI MD

Internal Medicine (Hematology & Oncology)