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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: August 02, 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
Phone(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
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Other Identifiers 3

Medicaid064350500FL
Medicaid064350501FL
Medicaid064350503FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

KATHERINE L WALSH PA-C/MPH
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
DR. JAMI ANN ROTHE KINNUCAN M.D.
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
GLENN SHI MD
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MICHELLE TULANG MD
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
RICARDO PAGAN MD
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
CRYSTAL LYNN CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
LAUREN E FREED CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MRS. MELINA VOLNER SOMMESE PA-C
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2594

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.

What insurance does Mayo Clinic Jacksonville accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 3 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.