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DR. JING-JING MAMABA CARDONA M.D.
NPI 1457331415
Family Medicine in Jacksonville, FL

Active since January 18, 2006Opted out of Medicare · through May 29, 2028
10175 FORTUNE PKWY UNIT 1101, JACKSONVILLE, FL 32256(904) 551-4625(904) 990-1491 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 22, 2025, Jan 23, 2023, Jan 2, 2023 and 2 more (5 updates tracked since 2015).

About Dr. Jing-jing Mamaba Cardona M.d. NPPES

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

DR. JING-JING MAMABA CARDONA M.D. (NPI 1457331415) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME111613) and active in the NPI registry since January 2006. She has opted out of Medicare through May 29, 2028.

NPPES Registry Identity

NPI1457331415
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JING-JING MAMABA CARDONACredential: M.D.
Location Address10175 FORTUNE PKWY UNIT 1101Jacksonville, FL 32256-6757
Mailing Address10175 Fortune Pkwy Unit 1101Jacksonville, FL 32256-6757 · (904) 551-4625 · Fax (904) 990-1491
Phone(904) 551-4625
Fax(904) 990-1491
Sole ProprietorYes
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJune 22, 20255 updates tracked since enumeration
NPPES CertifiedJune 22, 2025
✔ NPI 1457331415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME111613
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 89992241 (FL)
10175 FORTUNE PKWY UNIT 1101, Jacksonville, FL 32256
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Other Identifiers 1

OtherP01201933FL · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jing-jing Mamaba Cardona M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2020 through May 29, 2028.

Opt-Out Effective DateMay 29, 2020
Opt-Out In Effect ThroughMay 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jing-jing Cardona's NPI number?

The NPI number for Jing-jing Cardona is 1457331415. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Jing-jing Cardona located?

Jing-jing Cardona practices at 10175 Fortune Pkwy Unit 1101, Jacksonville, FL 32256. The listed phone number is (904) 551-4625.

What is Jing-jing Cardona's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jing-jing Cardona enrolled in Medicare?

No. Jing-jing Cardona has opted out of Medicare through May 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jing-jing Cardona was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.