JETIA LASONJA SCALES AGNP-C - NPI 1740098946 - Nurse Practitioner in Jacksonville, FL

Q: What is Jetia Scales's NPI number?

The NPI number for Jetia Scales is 1740098946. It was assigned to this individual provider in the NPPES registry on December 20, 2024.

Q: What is Jetia Scales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jetia Scales was last updated on March 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jetia Lasonja Scales Agnp-c NPPES

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

JETIA LASONJA SCALES AGNP-C (NPI 1740098946) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (11036888) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740098946

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJETIA LASONJA SCALESCredential: AGNP-C

Location Address8613 OLD KINGS RD S STE 602Jacksonville, FL 32217-4863

Mailing Address8613 Old Kings Rd S Ste 602Jacksonville, FL 32217-4863 · (904) 504-5225

Phone(904) 504-5225

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 20, 2024

Last NPPES UpdateMarch 22, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1740098946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · 11036888

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11036888 (FL)

8613 OLD KINGS RD S STE 602, Jacksonville, FL 32217

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Other Names 1

Other Name (5)Jatia Lasonja Scales Agnp-c

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

Jetia Lasonja Scales Agnp-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 ID3678094158

PECOS Enrollment IDI20250313000745

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.

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32217 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 7

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

JACKSONVILLE HOSPITALISTS PA

Hospitalist