JACLYN L MASCARIN (PA) – Physician Assistant, NPI 1639512791
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACLYN L MASCARIN (PA)
300 Pinellas St # MS -36
Clearwater, FL 337563804
Phone: (727) 462-7000
Type: Location
PO BOX 17308
CLEARWATER, FL 337620308
Phone: (386) 274-7800
Fax: (386) 274-7801
Type: Mailing
300 PINELLAS ST # MS -36
CLEARWATER, FL 337563804
Phone: (727) 462-7000
Type: Location
PO BOX 595498
FORT GRATIOT, MI 480595498
Phone: (810) 300-4887
Fax: (810) 985-2671
Type: Mailing
1221 PINE GROVE AVE
PORT HURON, MI 480603511
Phone: (810) 989-3300
Type: Location
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: 2023-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130507000286 | I | Physician Assistant | FL | TBD |
| I20230515002398 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 44 | 43 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 17 | 16 | $0 |
Insurance plans in this area (ZIP 33756)
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