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NINEVEH A MCINTOSH PA-C
NPI 1730430893
Physician Assistant in St. Johns, FL

Active since September 28, 2012PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
30 ARDISIA LANE, ST. JOHNS, FL 32259(904) 287-2794(904) 390-7458 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Aug 26, 2020 (2 updates tracked since 2020).

About Nineveh A Mcintosh Pa-c NPPES

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

NINEVEH A MCINTOSH PA-C (NPI 1730430893) is an individual physician assistant in St. Johns, Florida, licensed in Florida (PA9106841) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1730430893
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNINEVEH A MCINTOSHCredential: PA-C
Location Address30 ARDISIA LANESt. Johns, FL 32259
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 287-2794
Fax(904) 390-7458
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 28, 2012
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1730430893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9106841
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9106841 (FL)
30 ARDISIA LANE, St. Johns, FL 32259
Open in Google Maps ↗

Other Names 1

Former Name (1)Nineveh A Dawson

Secondary Practice Location 1

Location 11400 Bishop Estates RdJacksonville, FL 32259-4244 · Phone (904) 287-2794 · Fax (904) 287-5362

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Nineveh A Mcintosh Pa-c 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 ID941452361
PECOS Enrollment IDI20121212000060
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services35 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAIME LYN KIBLER-MCCORMICK D.O.
Family Medicine
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
MRS. KATHERINE ANN WILSON PA-C
Physician Assistant
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
SARAH HAGERBRANT DO
Family Medicine
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
DR. DONALD JACOCKS LEVINE M.D.
Family Medicine
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794
VANESSA M. BERRIOS PA-C
Physician Assistant
30 ARDISIA LANE
ST. JOHNS, FL 32259
St. Johns County (904) 287-2794

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 Nineveh Mcintosh's NPI number?

The NPI number for Nineveh Mcintosh is 1730430893. It was assigned to this individual provider in the NPPES registry on September 28, 2012. The provider is also known as Nineveh A Dawson.

Where is Nineveh Mcintosh located?

Nineveh Mcintosh practices at 30 Ardisia Lane, St. Johns, FL 32259. The listed phone number is (904) 287-2794.

What is Nineveh Mcintosh's specialty?

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

Is Nineveh Mcintosh enrolled in Medicare?

Yes. Nineveh Mcintosh 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 Nineveh Mcintosh accept?

Health plans from AvMed list Nineveh Mcintosh 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 Nineveh Mcintosh affiliated with any hospitals?

According to CMS data, Nineveh Mcintosh is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Nineveh Mcintosh was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.