MRS. JACKLYN ALEXIS XAVIER (P.A-C) – Medical Physician Assistant, NPI 1396172409
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JACKLYN ALEXIS XAVIER (P.A-C)
3300 DAIRY RD
TITUSVILLE, FL 327961512
Phone: (321) 269-6530
Fax: (321) 269-2334
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 11 Open Payments records for all available years, with a total value of $236.
Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.
Last reported payment date: 2023-11-21 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($75).
Total Amount
$236
General + Research + Ownership
Payments
11
Total payment records
General Amount
$236
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170811003007 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 141 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 107 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 37 | 17 | $0 |
| 81002 | Urinalysis, manual test | 21 | 17 | $0 |
Insurance plans in this area (ZIP 32796)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine, Critical Care (Intensivists), General Practice, General Surgery, Peripheral Vascular Disease | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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