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

Active since December 20, 2024PECOS EnrolledAccepts Medicare Assignment
8613 OLD KINGS RD S STE 602, JACKSONVILLE, FL 32217(904) 504-5225 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 22, 2025, Feb 12, 2025, Dec 21, 2024 (3 updates tracked since 2024).

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 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
Open in Google Maps ↗

Other Names 1

Other Name (5)Jatia Lasonja Scales Agnp-c

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jetia Scales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Symphony Specialty Group, LLC
Same address
Specialist
8613 OLD KINGS RD S STE 602
Jacksonville, FL 32217
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1831878735 (904) 493-3390
First Coast Surgical Associates Inc
6.1 mi
Surgery
6206 ATLANTIC BLVD STE 1
Jacksonville, FL 32211
  • Reassigned Medicare billing, Florida enrollment
  • 41 clinicians in this Medicare group
NPI 1548249543 (904) 731-3131

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 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.

MRS. KWONA TARIA GAFFNEY-DEVOUX APRN
Nurse Practitioner (Family)
8613 OLD KINGS RD S STE 602
JACKSONVILLE, FL 32217
Duval County (904) 493-3390
MICHELE ALEXIS BRANDON DO
Internal Medicine (Infectious Disease)
8613 OLD KINGS RD S STE 602
JACKSONVILLE, FL 32217
Duval County (904) 493-3390
IVONNE LILIANA PERALTA APRN
Nurse Practitioner (Family)
8613 OLD KINGS RD S STE 602
JACKSONVILLE, FL 32217
Duval County (904) 493-3390
JENNIFER REESE SHUMAKER ACNP-BC
Nurse Practitioner
8613 OLD KINGS RD S STE 602
JACKSONVILLE, FL 32217
Duval County (904) 493-3390
SYMPHONY SPECIALTY GROUP, LLC
Specialist
8613 OLD KINGS RD S STE 602
JACKSONVILLE, FL 32217
Duval County (904) 493-3390
JACKSONVILLE HOSPITALISTS PA
Hospitalist
8613 OLD KINGS RD S STE 602
JACKSONVILLE, FL 32217
Duval County (904) 493-3390
ASHLEY LYNN ROSS AGAC-NP
Nurse Practitioner (Gerontology)
8613 OLD KINGS RD S STE 602
JACKSONVILLE, FL 32217
Duval County (716) 998-8558

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 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. The provider is also known as Jatia Lasonja Scales Agnp-C.

Where is Jetia Scales located?

Jetia Scales practices at 8613 Old Kings Rd S Ste 602, Jacksonville, FL 32217. The listed phone number is (904) 504-5225.

What is Jetia Scales's specialty?

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

Is Jetia Scales enrolled in Medicare?

Yes. Jetia Scales 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.

Which organizations bill Medicare for Jetia Scales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jetia Scales reassigns Medicare benefits to 2 organizations: Symphony Specialty Group, LLC (Jacksonville, FL) and First Coast Surgical Associates Inc (Jacksonville, FL). Each 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 Jetia Scales'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 Jetia Scales was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.