JACQUELINE MCGRATH (PA) – Physician Assistant, NPI 1174316178

JACQUELINE MCGRATH (PA) is a healthcare provider. based in Crestview, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for JACQUELINE MCGRATH (PA) is 1174316178

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JACQUELINE MCGRATH (PA)
NPI
1174316178
Phone
Not provided
Address
550 REDSTONE AVE W STE 390
Enumeration Date
23 May 2025
Last Update Date
23 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506822209
Graduation Year
2025 (1 year ago)
PAC ID
0941708259
Group Practice PAC ID
0244205565
Professional Enrollment ID
I20250806004582
Address ID
FL325366429CR550XXAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JACQUELINE MCGRATH (PA)

  • 550 REDSTONE AVE W STE 390

    CRESTVIEW, FL 325366434

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-06

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
I20250806004582IPhysician 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 32536)

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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: 0244205565View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerCT
General SurgeryAR
U R O L O G YCA
General SurgeryFL
O B S T E T R I C S/ G Y N E C O L O G YMS
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
Physician AssistantFL
-FL

Reviews

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Frequently asked questions

How do payers reference JACQUELINE MCGRATH (PA)?
For JACQUELINE MCGRATH (PA), use NPI 1174316178 as the unique 10-digit identifier.
Is JACQUELINE MCGRATH (PA) still an active registrant?
JACQUELINE MCGRATH (PA) carries an active NPI according to the public dataset.
What kind of doctor is JACQUELINE MCGRATH (PA)?
JACQUELINE MCGRATH (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is JACQUELINE MCGRATH (PA) registered?
Use Crestview, Florida as the headline location for JACQUELINE MCGRATH (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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