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DR. JAKE EDWARD BOREN DO, MS
NPI 1790429827
Emergency Medicine in Jacksonville, FL

Active since April 25, 2022PECOS Enrolled
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Apr 25, 2022 (2 updates tracked since 2022).

About Dr. Jake Edward Boren Do, Ms NPPES

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

DR. JAKE EDWARD BOREN DO, MS (NPI 1790429827) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Texas (V2975) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790429827
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAKE EDWARD BORENCredential: DO, MS
Location Address2080 CHILD ST DEPT 5000Jacksonville, FL 32214-5000
Mailing Address2080 Child St Dept 5000Jacksonville, FL 32214-5000
Phone(904) 542-7300
Sole ProprietorYes
Enumeration DateApril 25, 2022
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1790429827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · V2975
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2080 CHILD ST DEPT 5000, Jacksonville, FL 32214
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 (PECOS)

Dr. Jake Edward Boren Do, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 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.

MICHELLE ALICIA COY DNP
Nurse Anesthetist, Certified Registered
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. BRADLEY ALLEN ULLMAN MD
Anesthesiology
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7632
VAHIDEH YOUSEFI DE60505442
Dentist (General Practice)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 546-7130
ISABELLA A FREGOSO RPH, PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
BRADLEY RANDALL WINTERS
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
JAKE MICHAEL ROUSE DO
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 610-5253
ESTHER ALAKIJA DO
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICHOLAS NATHAN SWEET D.O.
Radiology (Diagnostic Radiology)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7744

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 Jake Boren's NPI number?

The NPI number for Jake Boren is 1790429827. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Jake Boren located?

Jake Boren practices at 2080 Child St Dept 5000, Jacksonville, FL 32214. The listed phone number is (904) 542-7300.

What is Jake Boren's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jake Boren enrolled in Medicare?

Yes. Jake Boren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jake Boren was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.