JANET UNDERKOFLER (PA) – Family Medicine Physician, NPI 1083613046

JANET UNDERKOFLER (PA) is a healthcare provider. based in Orange park, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA0001744 (FL). The NPI Number for JANET UNDERKOFLER (PA) is 1083613046

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
JANET UNDERKOFLER (PA)
NPI
1083613046
Phone
(904) 264-8621
Address
1594 KINGSLEY AVE
Enumeration Date
20 July 2005
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042784447
Graduation Year
1985 (41 years ago)
PAC ID
3678620754
Group Practice PAC ID
8820003411
Professional Enrollment ID
I20090407000023
Address ID
FL320034831FL4689X17XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for JANET UNDERKOFLER (PA)

  • 1594, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 320734546

    Phone: (904) 264-8621

    Fax: (904) 215-9418

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($22).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090407000023IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes201132$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130130$0
99214Established patient office or other outpatient visit, 30-39 minutes12087$0
81003Automated urinalysis test4935$0
83036Hemoglobin a1c level1312$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820003411View full group profile
NameSpecialtyState
-FL
-FL
General SurgeryOH
-FL
Nurse PractitionerFL
-FL
-FL
Infectious Disease, Internal MedicineFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

What identifier follows JANET UNDERKOFLER (PA) across health systems?
The NPI 1083613046 uniquely identifies JANET UNDERKOFLER (PA) in U.S. healthcare data.
Quick check: is JANET UNDERKOFLER (PA) active?
Public NPPES data shows JANET UNDERKOFLER (PA) with an active NPI status right now.
What services align with JANET UNDERKOFLER (PA)'s listing?
JANET UNDERKOFLER (PA)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JANET UNDERKOFLER (PA)?
The directory associates JANET UNDERKOFLER (PA) with Orange Park, Florida. Check all listed addresses for suites or satellite offices.
Who maintains JANET UNDERKOFLER (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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