Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053985861 Individual Practitioner Male Practitioner

Dr. Jacob Renuart , MD

Pediatrics • Fleming Island, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Renuart, MD is a registered healthcare professional specializing in Pediatrics in Fleming Island, FL. Practice services are available at 4611 US HIGHWAY 17 STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4611 Us Highway 17 Ste 2

Fleming Island, FL 320038248

Telephone 9042644333
Fax 9042644301
Associated Practice Facility / Clinic
🏢 Shelly L. Hall M.d., P.a. Facility NPI 1841231610

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fleming Island, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Fleming Island, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME168099

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1255318895

Doctor of Medicine (M.D.)

Laura Dunton , ARNP

Nurse Practitioner - Pediatrics

NPI 1356397962

Advanced Registered Nurse Practitioner

Kelsey Holmes , APRN

Clinical Nurse Specialist - Pediatrics

NPI 1407239759

Advanced Practice Registered Nurse

NPI 1467414888

Doctor of Medicine (M.D.)

NPI 1669432381

Doctor of Medicine (M.D.)

Kathryn Szczepanik , ARNP

Nurse Practitioner - Family

NPI 1730344854

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 29, 2025

Registered at 4611 US HIGHWAY 17 STE 2, FLEMING ISLAND, FL 320038248 (Tel: 9042644333)

📍
Updated Business Mailing Address January 29, 2025

Registered at 4611 US HIGHWAY 17 STE 2, FLEMING ISLAND, FL 320038248

👤
Provider Name / Credentials Updated January 29, 2025

Recorded as JACOB RENUART, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2025

Pediatrics (License #ME168099 in FL)

NPI Profile Active May 17, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2021

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522650111)

📍
Updated Business Mailing Address May 17, 2021

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003

👤
Provider Name / Credentials Updated May 17, 2021

Recorded as JACOB RENUART

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 17, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053985861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2021
Last Update: January 29, 2025
Sole Proprietor: No

Mailing Address

4611 Us Highway 17 Ste 2

Fleming Island, FL 320038248

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.