MRS. JACLYN MARIE MIGNELLA APRN
NPI 1124582085
Nurse Practitioner - Family in Daytona Beach, FL
About Mrs. Jaclyn Marie Mignella Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACLYN MARIE MIGNELLA APRN (NPI 1124582085) is an individual family provider in Daytona Beach, Florida, licensed in Florida (11028116) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Jaclyn Marie Mignella Aprn 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 Jaclyn Mignella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Daytona Beach, FL 32117
- Reassigned Medicare billing, Florida enrollment
- 733 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.
Areas of Expertise CMS Part B claims 3
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.
Adventhealth Daytona Beach
Acute Care Hospitals · Daytona Beach, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32117 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaclyn Mignella's NPI number?
The NPI number for Jaclyn Mignella is 1124582085. It was assigned to this individual provider in the NPPES registry on January 24, 2019.
Where is Jaclyn Mignella located?
Jaclyn Mignella practices at 305 Memorial Medical Pkwy Ste 209, Daytona Beach, FL 32117. The listed phone number is (386) 231-3520.
What is Jaclyn Mignella's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Mignella enrolled in Medicare?
Yes. Jaclyn Mignella 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 Jaclyn Mignella's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Mignella reassigns Medicare benefits to Florida Hospital Healthcare Partners, Inc (Daytona Beach, 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 Jaclyn Mignella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jaclyn Mignella affiliated with any hospitals?
According to CMS data, Jaclyn Mignella is affiliated with Adventhealth Daytona Beach.
When was this NPI record last updated?
The NPPES record for Jaclyn Mignella was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Jaclyn Marie Mignella, APRN · NPI 1124582085
Family physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since January 24, 2019.
## Identity
- **NPI:** 1124582085 (Entity type: Individual)
- **Enumerated:** January 24, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11028116 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 305 MEMORIAL MEDICAL PKWY STE 209, Daytona Beach, FL 32117-5169
- **Phone:** (386) 231-3520
## 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:** Florida Hospital Healthcare Partners, Inc (NPI 1780100529, Daytona Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124582085) · Data from the CMS NPPES public registry.