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PAMELA BEACH APRN
NPI 1619514650
Nurse Practitioner - Family in Jacksonville, FL

Active since December 10, 2019PECOS Enrolled
4705 AVON LN, JACKSONVILLE, FL 32210(904) 545-5896 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pamela Beach Aprn NPPES

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

PAMELA BEACH APRN (NPI 1619514650) is an individual family provider in Jacksonville, Florida, licensed in Florida (11002831) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619514650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAMELA BEACHCredential: APRN
Location Address4705 AVON LNJacksonville, FL 32210-7503
Mailing Address4705 Avon LnJacksonville, FL 32210-7503
Phone(904) 545-5896
Sole ProprietorNo
Enumeration DateDecember 10, 2019
✔ NPI 1619514650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11002831
4705 AVON LN, Jacksonville, FL 32210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Beach Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Pamela Beach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vmd Primary Providers Central Florida PLLC
140 mi
Family Medicine
4501 13TH ST
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 151 clinicians in this Medicare group
NPI 1134738974 (407) 798-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32210 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 Pamela Beach's NPI number?

The NPI number for Pamela Beach is 1619514650. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Pamela Beach located?

Pamela Beach practices at 4705 Avon Ln, Jacksonville, FL 32210. The listed phone number is (904) 545-5896.

What is Pamela Beach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pamela Beach enrolled in Medicare?

Yes. Pamela Beach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Beach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Beach reassigns Medicare benefits to Vmd Primary Providers Central Florida PLLC (Saint Cloud, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Beach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pamela Beach was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.