PRISAT PA
NPI 1275678799
Registered Nurse - Psychiatric/Mental Health in Jacksonville, FL

Active since February 21, 2007CLIA 10D1096478 · Waiver
3685 CROWN POINT COURT, SUITE 3, JACKSONVILLE, FL 32257(904) 880-8840(904) 880-1994 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Prisat Pa NPPES

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

PRISAT PA (NPI 1275678799) is a healthcare organization registered as a psychiatric/mental health in Jacksonville, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Satyen P. Madkaiker, Psychiatrist, President, as its authorized official.

NPPES Registry Identity

NPI1275678799
Entity TypeOrganization
Primary Taxonomy163WP0808X
Legal Business NamePRISAT PA
Location Address3685 CROWN POINT COURT, SUITE 3Jacksonville, FL 32257-5967
Mailing AddressPo Box 24330Jacksonville, FL 32241-4330 · (904) 880-8840 · Fax (904) 880-1994
Fax(904) 880-1994
Organization SubpartNo
Authorized OfficialSatyen P. MadkaikerPsychiatrist, President · (904) 880-8840
Enumeration DateFebruary 21, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1275678799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
Licenses✔ Licensed in FL · RN2580702✔ Licensed in FL · ARNP2101032
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH9023 (FL)
Also ListedPsychologistTaxonomy 103T00000X · License RN9254064 (FL)
Also ListedSpecialistTaxonomy 174400000X · License ME83139 (FL)
3685 CROWN POINT COURT, Jacksonville, FL 32257

Other Identifiers 5

Other1588629232FL · Npi - Madkaiker
Other282634FL · Magellan Ip - Madkaiker
Other1134234669FL · Npi - Sickinger
Other1306867817FL · Npi - Forker
OtherBCBSFL · 06183

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prisat Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prisat PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1508832361
3685 CROWN POINT COURT
Jacksonville, FL 32257
(904) 292-4129
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1588629232
3685 CROWN POINT CT SUITE 3
Jacksonville, FL 32257
(904) 880-8840
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1096478

Prisat PA · Jacksonville, FL
Active · expires Mar 4, 2027
CLIA Number10D1096478
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorPrtia S. Madkaiker
Laboratory Phone(904) 880-8840
Laboratory LocationPrisat PA3685 Crown Point Court, Jacksonville, FL 32257
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prisat PA's NPI number?

The NPI number for Prisat PA is 1275678799. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Prisat PA located?

Prisat PA is located at 3685 Crown Point Court Suite 3, Jacksonville, FL 32257. The listed phone number is (904) 880-8840.

What is Prisat PA's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Prisat PA enrolled in Medicare?

Yes. Prisat PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prisat PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prisat PA, in Internal Medicine and Psychiatry. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prisat PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1096478) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prisat PA accept?

Health plans from AvMed list Prisat PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prisat PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.