MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) – Physician Assistant, NPI 1396855813
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.)
6800 SOUTHPOINT PKWY STE 300
JACKSONVILLE, FL 322168203
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Mailing
4565 US Highway 17 Ste 200
Fleming Island, FL 320034823
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
216 Southpark Cir E Ste 216
Saint Augustine, FL 320865135
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2300 Park Ave Ste 206
Orange Park, FL 320735573
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
45 Groover Loop Ste 201
St Augustine, FL 320866586
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 322238800
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 320826600
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2627 Riverside Ave Ste 300
Jacksonville, FL 322044717
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
1690 US Highway 1 S Ste F
St Augustine, FL 320846024
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2110 Herschel St
Jacksonville, FL 322043820
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 322597001
Phone: (214) 580-7277
Type: Location
Arrillaga Family Sports Center, 641, Campus Drive, Stanford, Santa Clara County, California, 94305, United States
STANFORD, CA 943056201
Phone: (650) 391-7829
Type: Mailing
700 N PEARL ST STE N208
DALLAS, TX 752017430
Phone: (214) 999-9355
Type: Mailing
700 N PEARL ST STE N510
DALLAS, TX 752012863
Phone: (214) 580-7277
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Novo Nordisk Inc ($51).
Total Amount
$186
General + Research + Ownership
Payments
9
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $51 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $45 |
| Itamar Medical Inc | $28 |
| Phadia US Inc. | $24 |
| ABBVIE INC. | $19 |
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: 2025-02-13
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 |
|---|---|---|---|---|
| I20250213001471 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32216)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | FL | |
| Physical Therapist In Private Practice | FL | |
| C H I R O P R A C T I C | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Orthopedic Surgery | FL |
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