DR. JOAN HELEN MCCAULIE D.O.
NPI 1467718007
Internal Medicine in Jacksonville, FL

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
11513 N MAIN ST, JACKSONVILLE, FL 32218(904) 751-6200 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2020, Jan 2, 2020, Aug 16, 2019 (3 updates tracked since 2019).

About Dr. Joan Helen Mccaulie D.o. NPPES

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

DR. JOAN HELEN MCCAULIE D.O. (NPI 1467718007) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (OS16429) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467718007
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOAN HELEN MCCAULIECredential: D.O.
Location Address11513 N MAIN STJacksonville, FL 32218-4002
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 9, 2012
Last NPPES UpdateAugust 26, 20203 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
NPI 1467718007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in FL · OS16429 Licensed in NC · 2018-02013 Licensed in OH · 34.013565 Licensed in PA · OS019652 Licensed in TX · S0941 Licensed in CA · 20A13460
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11513 N MAIN ST, Jacksonville, FL 32218

Other Identifiers 3

OtherL1128FL · Medicare
OtherZL9INFL · Bcbs
Medicaid104925400FL

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 and accepts Medicare assignment

Dr. Joan Helen Mccaulie D.o. 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 ID3971828112
PECOS Enrollment IDI20191227000426
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 16

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 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.
229 services85 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
151 services64 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
86 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
69 services36 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
66 services43 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$185.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Nurse Practitioner (Adult Health)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Physician Assistant
11513 N MAIN ST
JACKSONVILLE, FL 32218
Nurse Practitioner (Family)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Physician Assistant
11513 N MAIN ST
JACKSONVILLE, FL 32218
Internal Medicine (Cardiovascular Disease)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Family Medicine
11513 N MAIN ST
JACKSONVILLE, FL 32218
Physician Assistant
11513 N MAIN ST
JACKSONVILLE, FL 32218

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 Joan Mccaulie's NPI number?

The NPI number for Joan Mccaulie is 1467718007. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Joan Mccaulie located?

Joan Mccaulie practices at 11513 N Main St, Jacksonville, FL 32218. The listed phone number is (904) 751-6200.

What is Joan Mccaulie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joan Mccaulie enrolled in Medicare?

Yes. Joan Mccaulie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joan Mccaulie accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Joan Mccaulie 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.

Is Joan Mccaulie affiliated with any hospitals?

According to CMS data, Joan Mccaulie is affiliated with Shands Jacksonville and Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Joan Mccaulie was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.