MS. JUDITH ELAINE LYNCH (RD, PA) – Physician Assistant, NPI 1124221734

MS. JUDITH ELAINE LYNCH (RD, PA) is a healthcare provider. based in Jasper, Florida. specializing in Physician Assistant. They hold the professional credentials RD, PA. They hold a License No. 9105408 (FL). The NPI Number for MS. JUDITH ELAINE LYNCH (RD, PA) is 1124221734

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. JUDITH ELAINE LYNCH (RD, PA)
NPI
1124221734
Phone
(386) 792-7744
Address
1150 US HIGHWAY 41 NW
Enumeration Date
9 June 2007
Last Update Date
18 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867554020
Graduation Year
2009 (17 years ago)
PAC ID
3678719424
Group Practice PAC ID
2365359387
Professional Enrollment ID
I20130423000363
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for MS. JUDITH ELAINE LYNCH (RD, PA)

  • 1150 US HIGHWAY 41 NW

    SUITE 11 & 12

    JASPER, FL 320525888

    Phone: (386) 792-7744

    Fax: (386) 792-7745

    Type: Mailing

  • 915, Nobles Ferry Road, Live Oak, Suwannee County, Florida, 32064, United States

    LIVE OAK, FL 320648463

    Phone: (386) 364-1751

    Fax: (386) 364-1761

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-08-24 • Largest payer in this snapshot: Exact Sciences Corporation ($38).

Total Amount

$151

General + Research + Ownership

Payments

8

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-24

Latest reported date

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: 2013-04-23

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
I20130423000363IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32052)

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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: 2365359387View full group profile

Reviews

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Frequently asked questions

Is MS. JUDITH ELAINE LYNCH (RD, PA) listed with a National Provider Identifier?
Yes — MS. JUDITH ELAINE LYNCH (RD, PA) has NPI 1124221734 on file in the registry.
Is MS. JUDITH ELAINE LYNCH (RD, PA) shown as active in public data?
Registry records indicate MS. JUDITH ELAINE LYNCH (RD, PA) maintains an active NPI.
How would a patient describe MS. JUDITH ELAINE LYNCH (RD, PA)'s focus?
For MS. JUDITH ELAINE LYNCH (RD, PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. JUDITH ELAINE LYNCH (RD, PA) located near Jasper?
MS. JUDITH ELAINE LYNCH (RD, PA) currently maps to Jasper, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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