JAC-LYN MELA PA
NPI 1578808945
Physician Assistant - Surgical in St Petersburg, FL

Active since December 11, 2012PECOS EnrolledAccepts Medicare Assignment
880 6TH ST S STE 320, ST PETERSBURG, FL 33701(727) 767-8590 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jac-lyn Mela Pa NPPES

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

JAC-LYN MELA PA (NPI 1578808945) is an individual surgical provider in St Petersburg, Florida, licensed in Florida (PA9107044) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1578808945
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJAC-LYN MELACredential: PA
Location Address880 6TH ST S STE 320St Petersburg, FL 33701-4824
Mailing Address880 6th St S Ste 320St Petersburg, FL 33701-4824 · (727) 767-8590 · Fax (727) 767-4319
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 11, 2012
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1578808945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9107044
880 6TH ST S STE 320, St Petersburg, FL 33701

Secondary Practice Location 1

Location 13001 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6307 · Phone (813) 554-8384 · Fax (813) 443-8160

Other Identifiers 1

Medicaid0081289-00FL

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

Jac-lyn Mela Pa 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 ID8224282538
PECOS Enrollment IDI20130213000278
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

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

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 Jac-lyn Mela's NPI number?

The NPI number for Jac-lyn Mela is 1578808945. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Jac-lyn Mela located?

Jac-lyn Mela practices at 880 6th St S Ste 320, St Petersburg, FL 33701. The listed phone number is (727) 767-8590.

What is Jac-lyn Mela's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jac-lyn Mela enrolled in Medicare?

Yes. Jac-lyn Mela 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 Jac-lyn Mela accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Jac-lyn Mela 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 Jac-lyn Mela affiliated with any hospitals?

According to CMS data, Jac-lyn Mela is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Jac-lyn Mela was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.