Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083871693 Individual Practitioner Female Practitioner

Tara Shannon Condrey , PA

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tara Condrey, PA is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Tara Condrey delivers high-quality medical care to the local community at 11512 LAKE MEAD AVE.

Tara Condrey maintains professional affiliations with Charles C Greene Md Phd Pa, Florida Ent Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of nasal passages using an endoscope, removal of impacted ear wax. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11512 Lake Mead Ave
Suite 531

Jacksonville, FL 322569680

Telephone 9044192054
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +6.8 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

In-Person Office Visits Only

Medicare Pricing Discount
58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Condrey (18 Years) 18 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
99213 Established patient office or other outpatient visit, typically 15 minutes
54 50 $174.75 $75.03
31231 Diagnostic examination of nasal passages using an endoscope
33 31 $364.26 $151.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 30 $248.21 $105.80
69210 Removal of impacted ear wax
24 21 $94.74 $38.22

Medical Specialties & State Licenses

CMS Verified: 2025-01-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9104580

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2930951-00 (FL)

Hospital & Practice Group Affiliations

Florida Ent Associates Inc

3890 Dunn Ave, Jacksonville, FL 322186428

Phone: 9042228658

Florida Ent Associates Inc

4131 University Blvd S, Jacksonville, FL 322164346

Phone: 9042228728

Charles C Greene Md Phd Pa

11512 Lake Mead Ave, Jacksonville, FL 322569733

Phone: 9044192054

Florida Ent Associates Inc

11512 Lake Mead Ave, Jacksonville, FL 322569733

Phone: 9042226103

Florida Ent Associates Inc

160 E Lake Howard Dr, Winter Haven, FL 338813155

Phone: 8632991251

Practice Associates & Co-Workers

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

3 Associated Practitioners
Kimberly Baird , ARNP

Nurse Practitioner - Family

NPI 1083993703

Advanced Registered Nurse Practitioner

NPI 1205831906

Doctor of Medicine (M.D.)

NPI 1306876651

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address January 06, 2025

Registered at 15280 NW 79TH CT STE 200, MIAMI LAKES, FL 330165873 (Tel: 3055583724)

NPI Profile Active March 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2015

Registered at 11512 LAKE MEAD AVE, SUITE 531, JACKSONVILLE, FL 322569680 (Tel: 9044192054)

📍
Updated Business Mailing Address March 13, 2015

Registered at 11512 LAKE MEAD AVE, SUITE 531, JACKSONVILLE, FL 322569680 (Tel: 9044192054)

👤
Provider Name / Credentials Updated March 13, 2015

Recorded as TARA CONDREY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2015

Physician Assistant (License #PA9104580 in FL)

🟢
Initial NPI Registration & Enumeration May 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tara Condrey. Be the first to share your experience!

Sign in to leave a review for Tara Condrey

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083871693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2008
Last Update: January 06, 2025
Sole Proprietor: No

Mailing Address

15280 Nw 79th Ct Ste 200

Miami Lakes, FL 330165873

Phone: 3055583724

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.