Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TIARA FUNKHOUSER PA
NPI 1306578786
Physician Assistant in Jacksonville, FL

Active since June 25, 2022PECOS Enrolled
97.4/100
CMS Quality Rating
4600 BEACH BLVD, JACKSONVILLE, FL 32207(904) 650-3906(904) 585-8240 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, Oct 21, 2022, Aug 25, 2022 (3 updates tracked since 2022).

About Tiara Funkhouser Pa NPPES

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

TIARA FUNKHOUSER PA (NPI 1306578786) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Marys.

NPPES Registry Identity

NPI1306578786
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIARA FUNKHOUSERCredential: PA
Location Address4600 BEACH BLVDJacksonville, FL 32207-4764
Mailing Address4600 Beach BlvdJacksonville, FL 32207-4764 · (904) 650-3906 · Fax (904) 585-8240
Fax(904) 585-8240
Sole ProprietorNo
Enumeration DateJune 25, 2022
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1306578786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4600 BEACH BLVD, Jacksonville, FL 32207

Secondary Practice Location 1

Location 1122 Hawthorn LnSaint Marys, GA 31558-4028 · Phone (904) 650-3906 · Fax (904) 585-8240

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiara Funkhouser Pa 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 32207 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.67
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Physical Therapist
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Counselor (Mental Health)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Psychologist (School)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Speech-Language Pathologist
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Counselor (Mental Health)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Pediatrics (Developmental - Behavioral Pediatrics)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Occupational Therapist
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Speech-Language Pathologist
4600 BEACH BLVD
JACKSONVILLE, FL 32207

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 Tiara Funkhouser's NPI number?

The NPI number for Tiara Funkhouser is 1306578786. It was assigned to this individual provider in the NPPES registry on June 25, 2022.

Where is Tiara Funkhouser located?

Tiara Funkhouser practices at 4600 Beach Blvd, Jacksonville, FL 32207. The listed phone number is (904) 650-3906.

What is Tiara Funkhouser's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tiara Funkhouser enrolled in Medicare?

Yes. Tiara Funkhouser is registered in the Medicare PECOS enrollment system.

What insurance does Tiara Funkhouser accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Tiara Funkhouser 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 Tiara Funkhouser was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.