Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730430893 Individual Practitioner Female Practitioner

Nineveh A Mcintosh , PA-C

Physician Assistant • St. Johns, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nineveh Mcintosh, PA-C is a certified Physician Assistant practicing in St. Johns, FL. With approximately 14 years of clinical experience since completing medical education in 2012, Nineveh Mcintosh delivers high-quality medical care to the local community at 30 ARDISIA LANE.

Nineveh Mcintosh is affiliated with Baptist Primary Care Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 Ardisia Lane

St. Johns, FL 32259

Telephone 9042872794
Fax 9043907458
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St. Johns, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +3.1 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
11 Specialists

Practicing in St. Johns, FL (10376 Statewide)

Telehealth Adoption Rate
45.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcintosh (14 Years) 14 Yrs
St. Johns Specialty Average (10.9 Years) 10.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
165 119 $315.87 $104.56
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
119 83 $41.00 $13.80
99213 Established patient office or other outpatient visit, typically 15 minutes
59 52 $224.32 $74.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
48 48 $321.67 $105.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
44 36 $446.41 $148.03
36415 Insertion of needle into vein for collection of blood sample
40 35 $16.00 $8.65
81003 Automated urinalysis test
22 19 $6.00 $2.20
93000 Routine ekg using at least 12 leads including interpretation and report
20 20 $35.85 $11.93
99495 Transitional care management services for problem of at least moderate complexity
13 11 $504.92 $170.51

Medical Specialties & State Licenses

CMS Verified: 2022-10-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106841

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 PA9106841

Definition to come...

Hospital & Practice Group Affiliations

Baptist Primary Care Inc

820 Prudential Dr, Jacksonville, FL 322078207

Phone: 9043964886

Baptist Primary Care Inc

3563 Phillips Hwy 101, Jacksonville, FL 32207

Baptist Primary Care Inc

1660 Prudential Dr, Jacksonville, FL 322078197

Phone: 9043968656

Baptist Primary Care Inc

1400 Bishop Estates Rd, Jacksonville, FL 322594244

Phone: 9042872794

Baptist Primary Care Inc

1310 County Rd 210, St Johns, FL 32259

Phone: 9048244407

Baptist Primary Care Inc

836 Prudential Dr, Jacksonville, FL 322078300

Phone: 9042024325

Baptist Primary Care Inc

820 Prudential Dr, Jacksonville, FL 322078205

Phone: 9042023860

Baptist Primary Care Inc

1660 Prudential Dr, Jacksonville, FL 322078188

Phone: 9043960000

Baptist Primary Care Inc

120 Gateway Cir, Jacksonville, FL 322594083

Phone: 9048244407

Baptist Primary Care Inc

30 Ardisia Lane, St Johns, FL 32259

Phone: 9042872794

Baptist Primary Care Inc

1660 Prudential Dr, Jacksonville, FL 322078185

Phone: 9042024222

Baptist Primary Care Inc

550 Durbin Pavilion Dr, St Johns, FL 322594135

Phone: 9047702095

Secondary Practice Locations

1400 Bishop Estates Rd

Jacksonville, FL 322594244

Phone: 9042872794

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Kanaklakshmi Masodkar , MD

Psychiatry & Neurology - Psychiatry

NPI 1164860748

Doctor of Medicine (M.D.)

NPI 1194796813

Doctor of Osteopathic Medicine (D.O.)

Katherine Wilson , PA-C

Physician Assistant

NPI 1235353988

Physician Assistant (Certified)

Kelsey Bloom , LCSW

Social Worker - Clinical

NPI 1730892365

Licensed Clinical Social Worker

NPI 1770041477

Doctor of Osteopathic Medicine (D.O.)

Carol Noell , PA-C

Physician Assistant - Medical

NPI 1821167065

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 20, 2022

Registered at 30 ARDISIA LANE, ST. JOHNS, FL 32259 (Tel: 9042872794)

📍
Updated Business Mailing Address October 20, 2022

Registered at PO BOX 746638, ATLANTA, GA 303746638 (Tel: 9042021032)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2022

Physician Assistant (License #PA9106841 in FL)

📍
Updated Practice Location August 26, 2020

Registered at 1400 BISHOP ESTATES RD, JACKSONVILLE, FL 322594244 (Tel: 9042872794)

📍
Updated Business Mailing Address August 26, 2020

Registered at PO BOX 45443, SALT LAKE CITY, UT 841450443 (Tel: 9042021032)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2020

Physician Assistant (License #PA9106841 in FL)

NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2012

Registered at 5819 ARGERIAN DR, WESLEY CHAPEL, FL 335454159 (Tel: 8139940800)

📍
Updated Business Mailing Address September 28, 2012

Registered at 5819 ARGERIAN DR, WESLEY CHAPEL, FL 335454159 (Tel: 8139940800)

👤
Provider Name / Credentials Updated September 28, 2012

Recorded as NINEVEH MCINTOSH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Physician Assistant (License #PA9106841 in FL)

🟢
Initial NPI Registration & Enumeration September 28, 2012

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: 1730430893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2012
Last Update: October 20, 2022
Sole Proprietor: No

Mailing Address

Po Box 746638

Atlanta, GA 303746638

Phone: 9042021032

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.