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Active NPI 1659548949 Individual Practitioner Male Practitioner

Nicolas Charles Condrey , PA-C

Physician Assistant • Jacksonville Beach, FL

Professional Overview & Biography Verified Profile Summary

Nicolas Condrey, PA-C is a registered healthcare professional specializing in Physician Assistant in Jacksonville Beach, FL. Practice services are available at 1320 ROBERTS DR STE 101 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1320 Roberts Dr Ste 101

Jacksonville Beach, FL 322503253

Telephone 9042417147
Fax 9043763213
Associated Practice Facility / Clinic
🏢 Baptist Cardiology, Inc. Facility NPI 1326311465

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Jacksonville Beach, FL (10376 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 25 $324.00 $111.52
93000 Routine ekg using at least 12 leads including interpretation and report
13 13 $37.00 $12.74

Medical Specialties & State Licenses

CMS Verified: 2025-05-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9104578

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PA9104578

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
012730800 (FL)

Practice Associates & Co-Workers

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

16 Associated Practitioners
Ashley Hill , PA-C

Physician Assistant

NPI 1134548167

Physician Assistant (Certified)

Dr. William Wainwright , MD

Internal Medicine - Cardiovascular Disease

NPI 1235131657

Doctor of Medicine (M.D.)

Samantha Nowakowski

Physician Assistant

NPI 1245701002
Dr. Thomas Hilton , MD

Internal Medicine - Cardiovascular Disease

NPI 1316949746

Doctor of Medicine (M.D.)

Kimberly Defranzo , NP

Nurse Practitioner

NPI 1346213139

Nurse Practitioner

Dr. Christopher Austin , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1508178567

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 23, 2025

Registered at 1320 ROBERTS DR STE 101, JACKSONVILLE BEACH, FL 322503253 (Tel: 9042417147)

📍
Updated Practice Location October 10, 2024

Registered at 1361 13TH AVE S STE 270, JACKSONVILLE BEACH, FL 322503258 (Tel: 9042417147)

📍
Updated Business Mailing Address October 10, 2024

Registered at PO BOX 746652, ATLANTA, GA 303746652 (Tel: 9042022092)

NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2015

Registered at 1361 13TH AVE S STE 270, CREDENTIALING DEPARTMENT, JACKSONVILLE BEACH, FL 322503258 (Tel: 9042417147)

📍
Updated Business Mailing Address November 16, 2015

Registered at PO BOX 43667, JACKSONVILLE, FL 322033667 (Tel: 9043983760)

👤
Provider Name / Credentials Updated November 16, 2015

Recorded as NICOLAS CONDREY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Physician Assistant (License #PA9104578 in FL)

🟢
Initial NPI Registration & Enumeration May 15, 2008

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: 1659548949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2008
Last Update: May 23, 2025
Sole Proprietor: No

Mailing Address

Po Box 746652

Atlanta, GA 303746652

Phone: 9042022092

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.