MRS. JESSICA P. KOFFMAN PA-C
NPI 1134420003
Physician Assistant - Medical in Clearwater, FL

Q: What is Jessica Koffman's NPI number?

The NPI number for Jessica Koffman is 1134420003. It was assigned to this individual provider in the NPPES registry on November 9, 2010. The provider is also known as Jessica P. Munoz Pa-C.

Q: What is Jessica Koffman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Koffman was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 09, 2010PECOS EnrolledAccepts Medicare Assignment

2985 DREW ST, CLEARWATER, FL 33759(727) 820-8200 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Jessica P. Koffman Pa-c NPPES

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

MRS. JESSICA P. KOFFMAN PA-C (NPI 1134420003) is an individual medical provider in Clearwater, Florida, licensed in Florida (PA9105789) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1134420003

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. JESSICA P. KOFFMANCredential: PA-C

Location Address2985 DREW STClearwater, FL 33759-3012

Mailing Address3027 Sheehan DrLand O Lakes, FL 34638-8029

Phone(727) 820-8200

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 9, 2010

Last NPPES UpdateFebruary 12, 2025

NPPES CertifiedFebruary 7, 2025

✔ NPI 1134420003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9105789

2985 DREW ST, Clearwater, FL 33759

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Other Names 1

Former Name (1)Jessica P. Munoz Pa-c

Secondary Practice Locations 4

Location 12711 Letap CtLand O Lakes, FL 34638-7229 · Phone (813) 279-2211

Location 23204 San Diego LnDover, FL 33527-4748 · Phone (813) 707-7416

Location 318610 Fernview StreetLand O Lakes, FL 34638 · Phone (813) 692-8080

Location 416640 S US Highway 301 Ste 1Wimauma, FL 33598-4175 · Phone (813) 633-2576

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

Mrs. Jessica P. Koffman Pa-c 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.

PECOS PAC ID6507055878

PECOS Enrollment IDI20110118001143

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

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

BROOKE EILEEN DECKER NP-C

Nurse Practitioner (Family)