DIVYA MENON PA-C
NPI 1255772141
Physician Assistant - Medical in Jacksonville, FL

Q: What is Divya Menon's NPI number?

The NPI number for Divya Menon is 1255772141. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Q: What is Divya Menon'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 Divya Menon was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 09, 2013PECOS EnrolledAccepts Medicare Assignment

1824 KING ST STE 300, JACKSONVILLE, FL 32204(904) 388-1820(904) 388-1827 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2020, Aug 13, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

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About Divya Menon Pa-c NPPES

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

DIVYA MENON PA-C (NPI 1255772141) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9107224) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255772141

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDIVYA MENONCredential: PA-C

Location Address1824 KING ST STE 300Jacksonville, FL 32204

Mailing Address1507 S Hiawassee Rd, Ste 107Orlando, FL 32835-5706 · (407) 445-9545 · Fax (407) 445-9365

Phone(904) 388-1820

Fax(904) 388-1827

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 9, 2013

Last NPPES UpdateMay 12, 20204 updates tracked since enumeration

NPPES CertifiedMay 12, 2020

✔ NPI 1255772141 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 · PA9107224

1824 KING ST STE 300, Jacksonville, FL 32204

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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

Divya Menon 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 ID4688817778

PECOS Enrollment IDI20130820001079

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

45 services44 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

41 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

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.

SHENELLE PAULSON ARNP

Nurse Practitioner (Family)