Active NPI 1053386722 Individual Practitioner Female Practitioner

Nancy Crain , PA

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nancy Crain, PA is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 30 years of clinical experience since completing medical education in 1996, Nancy Crain delivers high-quality medical care to the local community at 6428 BEACH BLVD.

Nancy Crain is affiliated with Physical Medicine Specialists, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include transitional care management services for problem of at least moderate complexity, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6428 Beach Blvd

Jacksonville, FL 322162813

Telephone 9047241717

Associated Practice Facility / Clinic

🏢 Florida Physicians & Research Assoc Facility NPI 1912920372

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +18.8 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crain (30 Years) 30 Yrs

Jacksonville Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99495 Transitional care management services for problem of at least moderate complexity	692	683	$344.00	$168.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	523	250	$149.00	$65.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	199	192	$417.00	$143.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	71	$229.00	$105.31
99443 Telephone medical discussion with physician, 21-30 minutes	47	47	$273.00	$104.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	16	$215.00	$98.77
99238 Hospital discharge day management, 30 minutes or less	14	14	$146.00	$67.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$309.00	$149.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99495 Transitional care management services for problem of at least moderate complexity	871	846	$328.00	$168.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	442	239	$142.00	$66.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	157	$397.00	$145.77
99443 Telephone medical discussion with physician, 21-30 minutes	61	60	$260.00	$105.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	39	$294.00	$149.15
99238 Hospital discharge day management, 30 minutes or less	25	25	$139.00	$67.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$205.00	$100.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99495 Transitional care management services for problem of at least moderate complexity	503	490	$328.00	$171.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	284	189	$142.00	$60.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	177	173	$397.00	$167.44
99443 Telephone medical discussion with physician, 21-30 minutes	97	93	$260.00	$107.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	49	$139.00	$58.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	43	$294.00	$152.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$271.00	$114.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	460	269	$142.00	$61.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	75	$271.00	$116.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	61	$397.00	$170.96
99495 Transitional care management services for problem of at least moderate complexity	47	47	$328.00	$173.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	35	$139.00	$58.57
99443 Telephone medical discussion with physician, 21-30 minutes	31	28	$260.00	$110.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$294.00	$154.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	426	278	$142.00	$62.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	116	115	$271.00	$119.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	189	151	$142.00	$62.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$271.00	$117.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 3279

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.

Hospital & Practice Group Affiliations

Physical Medicine Specialists, Inc

3901 University Blvd S, Jacksonville, FL 322164312

Phone: 9043457373

Physical Medicine Specialists, Inc

6400 Brooks Bartram Dr, Jacksonville, FL 322585600

Phone: 9045787444

Practice Associates & Co-Workers

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

2 Associated Practitioners

Erin Vaughan , ARNP

Nurse Practitioner - Family

NPI 1063793784

Advanced Registered Nurse Practitioner

Dr. Martha Moore , MD

Internal Medicine - Cardiovascular Disease

NPI 1194871616

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 6428 BEACH BLVD, JACKSONVILLE, FL 322162813 (Tel: 9047241717)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6428 BEACH BLVD, JACKSONVILLE, FL 322162813

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NANCY CRAIN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #3279 in FL)

🟢

Initial NPI Registration & Enumeration February 17, 2006

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: 1053386722

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6428 Beach Blvd

Jacksonville, FL 322162813

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.