JACQUELINE MARIE SMALL PA-C
NPI 1700939410
Physician Assistant - Medical in Miami, FL

Q: What is Jacqueline Small's NPI number?

The NPI number for Jacqueline Small is 1700939410. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Jacqueline Small's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Small was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 18, 2007PECOS Enrolled

6015 NW 7TH AVE, MIAMI, FL 33127(305) 756-5502 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jacqueline Marie Small Pa-c NPPES

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

JACQUELINE MARIE SMALL PA-C (NPI 1700939410) is an individual medical provider in Miami, Florida, licensed in Florida (PA9103968) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1700939410

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJACQUELINE MARIE SMALLCredential: PA-C

Location Address6015 NW 7TH AVEMiami, FL 33127-1109

Mailing Address166 Nw 103rd StMiami Shores, FL 33150-1236 · (786) 443-4313 · Fax (305) 762-5848

Phone(305) 756-5502

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700939410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9103968

6015 NW 7TH AVE, Miami, FL 33127

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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)

Jacqueline Marie Small Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345521662

PECOS Enrollment IDI20190107002223

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.

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 Jacqueline Small's NPI number?

The NPI number for Jacqueline Small is 1700939410. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Jacqueline Small located?

Jacqueline Small practices at 6015 NW 7th Ave, Miami, FL 33127. The listed phone number is (305) 756-5502.

What is Jacqueline Small's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacqueline Small enrolled in Medicare?

Yes. Jacqueline Small is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Small was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.