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BLISS CARLEY TKACZYK PA-C
NPI 1588959902
Physician Assistant in Jacksonville, FL

Active since June 14, 2011PECOS Enrolled
841 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 396-5682 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Bliss Carley Tkaczyk Pa-c NPPES

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

BLISS CARLEY TKACZYK PA-C (NPI 1588959902) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9112344) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588959902
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLISS CARLEY TKACZYKCredential: PA-C
Location Address841 PRUDENTIAL DRJacksonville, FL 32207-8329
Mailing Address240 Peter Island DrSt Augustine, FL 32092-7429 · (917) 602-7402
Phone(904) 396-5682
Sole ProprietorNo
Enumeration DateJune 14, 2011
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1588959902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9112344✔ Licensed in NY · 014870-1
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.
841 PRUDENTIAL DR, Jacksonville, FL 32207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bliss Carley Tkaczyk Pa-c 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

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.

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.

DR. EMMANUEL PENA D.O.
Pediatrics (Child Abuse Pediatrics)
841 PRUDENTIAL DR, SUITE 1130
JACKSONVILLE, FL 32207
Duval County (904) 603-4199
MUHAMMAD TANVEER UL HAQUE
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR, SUITE 1130
JACKSONVILLE, FL 32207
Duval County (904) 244-3140
DILLON OBERLIN SNYDER DO
Pediatrics
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 633-4199
KATHERINE MARGARITIS MS, RD, LD/N
Dietitian, Registered
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 633-0920
SHERRY R FAHMI SHENODA M.D.
Pediatrics
841 PRUDENTIAL DR, SUITE 1330
JACKSONVILLE, FL 32207
Duval County (904) 383-1712
DR. AMANDA CRUZ-DEWEESE DO
Emergency Medicine (Pediatric Emergency Medicine)
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
ARENA CHANEY NP
Nurse Practitioner
841 PRUDENTIAL DR, 10TH FLOOR
JACKSONVILLE, FL 32207
Duval County (904) 398-5404
DR. PAMELA L TRAPANE MD
Medical Genetics (Clinical Genetics (M.D.))
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 633-0920

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 Bliss Tkaczyk's NPI number?

The NPI number for Bliss Tkaczyk is 1588959902. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Bliss Tkaczyk located?

Bliss Tkaczyk practices at 841 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Bliss Tkaczyk's specialty?

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

Is Bliss Tkaczyk enrolled in Medicare?

Yes. Bliss Tkaczyk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bliss Tkaczyk was last updated on February 2, 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.