MAYO CLINIC JACKSONVILLE
NPI 1790772317
Clinic/Center - Multi-Specialty in Jacksonville, FL

Active since September 29, 2005
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-1768(904) 953-1768 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Aug 15, 2025, Apr 12, 2021 and 2 more (5 updates tracked since 2021).

About Mayo Clinic Jacksonville NPPES

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

MAYO CLINIC JACKSONVILLE (NPI 1790772317) is a healthcare organization registered as a multi-specialty in Jacksonville, Florida and active in the NPI registry since September 2005. The organization lists Alice Rigdon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1790772317
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMAYO CLINIC JACKSONVILLE
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-7355 · Fax (904) 953-1768
Fax(904) 953-1768
Organization SubpartNo
Authorized OfficialAlice RigdonChief Financial Officer · (904) 953-0577
Enumeration DateSeptember 29, 2005
Last NPPES UpdateApril 15, 20265 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1790772317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4500 SAN PABLO RD S, Jacksonville, FL 32224

Other Identifiers 3

Medicaid064350500FL
Medicaid064350501FL
Medicaid064350503FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayo Clinic Jacksonville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,872

Medicare enrollment records show 1,872 clinicians reassign Medicare billing to Mayo Clinic Jacksonville, which bills Medicare for the services they deliver. Of these, 517 practice at this address and 1,508 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 67

Nurse Practitioner298
Diagnostic Radiology154
Certified Registered Nurse Anesthetist (CRNA)137
Cardiovascular Disease (Cardiology)82
Gastroenterology78
Internal Medicine76
Hematology/Oncology74
Hospitalist65
59 other specialties908

Nearest to this location (20)

See all 1,872
Diagnostic Radiology
NPI 1538150180
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1538753728
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1245266352
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1316642333
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407379548
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790511525
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ Accepts MedicareSame address
Neurosurgery
NPI 1366273112
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1407419039
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1013401090
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1063821940
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1700413184
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1982741682
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1831985340
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOSSame address
Emergency Medicine
NPI 1316259112
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1871520718
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1811699457
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1780241380
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1821452673
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1033771001
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1881398881
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOSSame address
See all 1,872 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mayo Clinic Jacksonville's NPI number?

The NPI number for Mayo Clinic Jacksonville is 1790772317. It was assigned to this organization in the NPPES registry on September 29, 2005.

Where is Mayo Clinic Jacksonville located?

Mayo Clinic Jacksonville is located at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-1768.

What is Mayo Clinic Jacksonville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Mayo Clinic Jacksonville enrolled in Medicare?

Yes. Mayo Clinic Jacksonville is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mayo Clinic Jacksonville?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,872 clinicians in 67 Medicare specialties reassign their Medicare billing to Mayo Clinic Jacksonville. A 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 the clinician's services. The largest specialties are Nurse Practitioner (298), Diagnostic Radiology (154) and Certified Registered Nurse Anesthetist (CRNA) (137). Of these, 517 practice at this address and 1,508 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mayo Clinic Jacksonville accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Sanford Health Plan list Mayo Clinic Jacksonville 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.

When was this NPI record last updated?

The NPPES record for Mayo Clinic Jacksonville was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.