MRS. DAWN MARIE JAQUISH (FNP-C) – Family Nurse Practitioner, NPI 1811632607
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. DAWN MARIE JAQUISH (FNP-C)
6457 GOLDEN OAK LN
KEYSTONE HEIGHTS, FL 326566704
Phone: (904) 553-5586
Type: Mailing
6542 TRIEST AVE
KEYSTONE HEIGHTS, FL 326569393
Phone: (352) 473-7288
Type: Location
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 336025925
Phone: (727) 322-3439
Fax: (800) 928-7449
Type: Mailing
15035 NE HIGHWAY 315
FORT MC COY, FL 321342200
Phone: (352) 236-2525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2023-12-21 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($83).
Total Amount
$197
General + Research + Ownership
Payments
10
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $83 |
| ABBVIE INC. | $79 |
| Lilly USA, LLC | $17 |
| Baxter Healthcare | $17 |
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: 2022-09-19
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 |
|---|---|---|---|---|
| I20220919000027 | I | Nurse Practitioner | 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 32656)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL | |
| General Practice | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| General Practice, Family Practice | FL | |
| Family Practice | FL | |
| - | FL |
Reviews
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