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MS. LATRESE S ANDRE PAC
NPI 1821196924
Physician Assistant in Jacksonville, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
1000 RIVERSIDE AVE STE 200, JACKSONVILLE, FL 32204(904) 388-7521(904) 388-3541 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 31, 2025, May 5, 2021 (2 updates tracked since 2021).

About Ms. Latrese S Andre Pac NPPES

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

MS. LATRESE S ANDRE PAC (NPI 1821196924) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA100931) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1821196924
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LATRESE S ANDRECredential: PAC
Location Address1000 RIVERSIDE AVE STE 200Jacksonville, FL 32204-4154
Mailing Address1824 King St Ste 200Jacksonville, FL 32204-4736 · (904) 384-3343
Phone(904) 388-7521
Fax(904) 388-3541
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1821196924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA100931
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 RIVERSIDE AVE STE 200, Jacksonville, FL 32204
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Other Names 1

Former Name (1)Latrese S Walker Pac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Ms. Latrese S Andre Pac 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 ID8224056908
PECOS Enrollment IDI20070502000527
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of chemical agent into multiple incompetent veins of leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
118 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 4

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

KRISTIN L MARSHALL DNP
Nurse Practitioner (Family)
1000 RIVERSIDE AVE STE 200
JACKSONVILLE, FL 32204
Duval County (904) 388-7521
JENA JORAY SNIPES ARNP
Nurse Practitioner (Family)
1000 RIVERSIDE AVE STE 200
JACKSONVILLE, FL 32204
Duval County (904) 394-5347
DR. MELANIE BARRIGER WILSON DNP-ARNP
Nurse Practitioner (Adult Health)
1000 RIVERSIDE AVE STE 200
JACKSONVILLE, FL 32204
Duval County (904) 388-7521
DR. JON CHRISTIAN ALLMON MD
Surgery (Vascular Surgery)
1000 RIVERSIDE AVE STE 200
JACKSONVILLE, FL 32204
Duval County (904) 394-5347

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 Latrese Andre's NPI number?

The NPI number for Latrese Andre is 1821196924. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Latrese S Walker Pac.

Where is Latrese Andre located?

Latrese Andre practices at 1000 Riverside Ave Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 388-7521.

What is Latrese Andre's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Latrese Andre enrolled in Medicare?

Yes. Latrese Andre 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.

What insurance does Latrese Andre accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 1 other insurer list Latrese Andre 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 Latrese Andre was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.