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LAEEQUA ALI PA-C
NPI 1487438131
Physician Assistant in Jacksonville, FL

Active since August 23, 2023PECOS EnrolledAccepts Medicare Assignment
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204(904) 384-2240 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Aug 23, 2023 (2 updates tracked since 2023).

About Laeequa Ali Pa-c NPPES

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

LAEEQUA ALI PA-C (NPI 1487438131) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9117947) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487438131
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAEEQUA ALICredential: PA-C
Location Address915 W MONROE ST STE 200Jacksonville, FL 32204-1177
Mailing Address915 W Monroe St Ste 200Jacksonville, FL 32204-1177 · (904) 384-2240
Phone(904) 384-2240
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 23, 2023
Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1487438131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9117947
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.
915 W MONROE ST STE 200, Jacksonville, FL 32204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Laeequa Ali 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 ID7810427705
PECOS Enrollment IDI20250206003240
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.

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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.

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.

NINA REIGLER PA
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
CRYSTAL GONZALEZ APRN
Nurse Practitioner
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
GRANT G FREIBERG APRN
Nurse Practitioner
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
AMANDA MAZZELLA
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
TROY TOWNSEND ELLIS PA-C
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
DR. RAQUEL M VILLAVICENCIO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
NINA CLARK
Registered Nurse (Diabetes Educator)
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
KIMBERLY MICHEAL ABRAMSON APRN
Nurse Practitioner
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (407) 925-1325

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 Laeequa Ali's NPI number?

The NPI number for Laeequa Ali is 1487438131. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Laeequa Ali located?

Laeequa Ali practices at 915 W Monroe St Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 384-2240.

What is Laeequa Ali's specialty?

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

Is Laeequa Ali enrolled in Medicare?

Yes. Laeequa Ali 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 Laeequa Ali accept?

Health plans from AvMed list Laeequa Ali 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 Laeequa Ali affiliated with any hospitals?

According to CMS data, Laeequa Ali is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Flagler Hospital and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Laeequa Ali was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.