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THOMAS DANIEL PADILLA
NPI 1689540312
Nurse Practitioner - Acute Care in Jacksonville, FL

Active since October 10, 2025PECOS EnrolledAccepts Medicare Assignment
15255 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218(904) 244-9092(904) 244-9493 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Daniel Padilla NPPES

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

THOMAS DANIEL PADILLA (NPI 1689540312) is an individual acute care provider in Jacksonville, Florida, licensed in Florida (APRN11040259) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689540312
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTHOMAS DANIEL PADILLA
Location Address15255 MAX LEGGETT PKWYJacksonville, FL 32218-7273
Mailing AddressPo Box 44008Jacksonville, FL 32231-4008
Phone(904) 244-9092
Fax(904) 244-9493
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1689540312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · APRN11040259
15255 MAX LEGGETT PKWY, Jacksonville, FL 32218
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Thomas Daniel Padilla 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 ID4082106851
PECOS Enrollment IDI20251120000687
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.

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

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
$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.

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.

TRANSCENDENT MULTISERVICE ASSIST, LLC
Registered Nurse (Registered Nurse First Assistant)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 382-1987
DR. SUDHA RANI MUTYALA MD
Student in an Organized Health Care Education/Training Program
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 383-1000
MARK A LIVECCHI MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 456-8297
SHEILA COMPTON LCSW
Social Worker (Clinical)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 383-1000
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Non-Pharmacy Dispensing Site
15255 MAX LEGGETT PKWY, 5TH FLOOR
JACKSONVILLE, FL 32218
Duval County (727) 755-0693
ALFONSO DAVID MORENO GUTIERREZ M.D
Hospitalist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (773) 349-5197
DR. ERIN THOR WOLFF M.D.
Physical Medicine & Rehabilitation
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 456-8001
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Specialist
15255 MAX LEGGETT PKWY, 5TH FLOOR
JACKSONVILLE, FL 32218
Duval County (904) 634-0640

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 Thomas Padilla's NPI number?

The NPI number for Thomas Padilla is 1689540312. It was assigned to this individual provider in the NPPES registry on October 10, 2025.

Where is Thomas Padilla located?

Thomas Padilla practices at 15255 Max Leggett Pkwy, Jacksonville, FL 32218. The listed phone number is (904) 244-9092.

What is Thomas Padilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Thomas Padilla enrolled in Medicare?

Yes. Thomas Padilla 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.

Is Thomas Padilla affiliated with any hospitals?

According to CMS data, Thomas Padilla is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Thomas Padilla was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.