Deactivated NPI 1790976330 Deactivated / Inactive NPI Female Practitioner

Jennifer Starr Davis , PA-C

Physician Assistant • Stuart, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2007

NPI Deactivation Date February 22, 2019

Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Jennifer Davis, PA-C was a registered Physician Assistant practicing in Stuart, FL. Throughout an active medical career spanning 12 years, Jennifer Davis provided care at the practice location at 2220 SE OCEAN BLVD STE 301 until profile deactivation on 2019-02-22.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, tangential biopsy of single skin lesion, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2220 Se Ocean Blvd Ste 301

Stuart, FL 349963301

Telephone 7722203339

Fax 7722862635

Associated Practice Facility / Clinic

🏢 Romagosa Dermatology Group Llc Facility NPI 1609863398

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Stuart, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.1 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

88 Specialists

Practicing in Stuart, FL (10376 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.9% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	288	64	$7.96	$5.54
11102 Tangential biopsy of single skin lesion	155	147	$140.35	$74.94
99213 Established patient office or other outpatient visit, typically 15 minutes	150	146	$105.90	$78.09
17000 Destruction of skin growth	101	92	$84.46	$42.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	83	$147.37	$110.16
11103 Biopsy of related skin growth, each additional growth	94	54	$105.02	$41.87
17110 Destruction of up to 14 skin growths	77	74	$148.86	$94.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$201.09	$93.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	28	$208.34	$131.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$367.07	$259.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$63.87	$48.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$190.42	$145.17
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$110.64	$61.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11102 Tangential biopsy of single skin lesion	19	19	$275.26	$73.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$273.00	$95.07
17000 Destruction of skin growth	13	13	$168.00	$38.87
17110 Destruction of up to 14 skin growths	13	12	$276.77	$94.21
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$183.00	$76.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	327	72	$9.87	$5.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	154	$191.96	$108.99
17000 Destruction of skin growth	114	109	$100.73	$42.98
99213 Established patient office or other outpatient visit, typically 15 minutes	111	111	$136.35	$77.45
17110 Destruction of up to 14 skin growths	96	93	$168.54	$94.33
11102 Tangential biopsy of single skin lesion	70	68	$152.57	$71.30
11103 Biopsy of related skin growth, each additional growth	28	21	$76.32	$43.52
17004 Destruction of precancer skin growth, 15 or more growths	13	12	$251.15	$142.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	13	$267.87	$140.68
17111 Destruction of skin growth, 15 or more growths	12	11	$197.70	$112.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,928	469	$9.38	$5.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,680	1,022	$192.40	$111.32
17000 Destruction of skin growth	980	681	$96.74	$42.78
99213 Established patient office or other outpatient visit, typically 15 minutes	918	698	$134.74	$78.33
17110 Destruction of up to 14 skin growths	875	683	$165.19	$94.92
11102 Tangential biopsy of single skin lesion	811	661	$151.51	$75.75
11103 Biopsy of related skin growth, each additional growth	284	172	$77.73	$44.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	147	$81.83	$47.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$165.65	$96.65
17004 Destruction of precancer skin growth, 15 or more growths	128	84	$242.51	$140.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	54	$1.88	$1.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$250.71	$144.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	66	56	$266.13	$136.25
17111 Destruction of skin growth, 15 or more growths	64	55	$194.66	$111.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	46	$363.45	$170.45
11900 Injection into skin growth, 1-7 growths	49	44	$83.13	$31.43
69100 Biopsy of ear	41	41	$144.17	$67.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	27	$452.28	$250.22
11104 Punch biopsy, first skin growth	16	16	$189.82	$106.92
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$268.82	$161.56
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$107.01	$62.55
11105 Punch biopsy, each additional skin growth	11	11	$88.68	$51.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,444	487	$6.47	$4.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,244	956	$119.97	$92.52
17000 Destruction of skin growth	921	716	$71.80	$41.57
99213 Established patient office or other outpatient visit, typically 15 minutes	665	496	$82.68	$63.68
11102 Tangential biopsy of single skin lesion	662	579	$109.45	$75.51
17110 Destruction of up to 14 skin growths	595	498	$121.92	$93.42
11103 Biopsy of related skin growth, each additional growth	293	186	$58.39	$44.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	192	192	$119.01	$91.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	148	138	$49.95	$38.49
17004 Destruction of precancer skin growth, 15 or more growths	101	69	$173.24	$133.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	79	69	$195.09	$139.37
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$83.86	$64.70
11900 Injection into skin growth, 1-7 growths	48	40	$60.57	$32.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	28	$1.50	$1.37
17111 Destruction of skin growth, 15 or more growths	42	37	$143.30	$110.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	30	$272.79	$132.58
69100 Biopsy of ear	30	28	$108.01	$62.46
11104 Punch biopsy, first skin growth	21	21	$137.34	$105.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$332.76	$249.30
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	19	19	$141.76	$109.25
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	19	$433.93	$393.16
11105 Punch biopsy, each additional skin growth	17	16	$66.40	$50.90
10060 Simple or single drainage of skin abscess	11	11	$134.12	$103.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,741	296	$6.27	$4.82
99213 Established patient office or other outpatient visit, typically 15 minutes	776	523	$81.85	$62.87
11102 Tangential biopsy of single skin lesion	678	573	$108.37	$75.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	644	518	$119.94	$92.11
17000 Destruction of skin growth	639	470	$72.27	$42.34
95044 Test for allergy using skin patch	504	14	$6.20	$4.76
17110 Destruction of up to 14 skin growths	397	312	$120.91	$91.45
11103 Biopsy of related skin growth, each additional growth	337	200	$58.52	$44.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	277	277	$120.07	$92.30
99202 New patient office or other outpatient visit, typically 20 minutes	162	162	$84.19	$64.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	84	$49.49	$37.99
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	66	53	$195.88	$131.01
17004 Destruction of precancer skin growth, 15 or more growths	64	53	$168.32	$129.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	36	$276.23	$108.62
11900 Injection into skin growth, 1-7 growths	33	26	$60.24	$35.04
69100 Biopsy of ear	28	26	$108.60	$74.45
11104 Punch biopsy, first skin growth	24	24	$136.19	$102.51
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	22	21	$132.25	$101.48
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	19	$479.80	$368.13
17111 Destruction of skin growth, 15 or more growths	21	18	$143.96	$110.48
11105 Punch biopsy, each additional skin growth	17	16	$67.11	$51.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$18.23	$13.99
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$444.90	$341.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$337.36	$250.04
96573 Application of light by qualified health care professional to destroy precancer skin growth	13	13	$216.51	$166.13
10060 Simple or single drainage of skin abscess	13	13	$131.59	$101.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	334	76	$10.67	$4.37
99213 Established patient office or other outpatient visit, typically 15 minutes	180	146	$117.66	$60.38
11100 Biopsy of single growth of skin and/or tissue	155	144	$180.77	$82.96
17000 Destruction of skin growth	133	119	$112.88	$39.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$199.11	$89.80
11101 Biopsy of each additional growth of skin and/or tissue	82	54	$55.26	$27.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	66	$195.92	$89.56
17110 Destruction of up to 14 skin growths	72	68	$189.01	$92.47
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$136.82	$62.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$78.87	$36.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	14	$328.49	$135.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	68	19	$11.36	$4.71
11100 Biopsy of single growth of skin and/or tissue	51	48	$207.93	$79.84
99213 Established patient office or other outpatient visit, typically 15 minutes	46	38	$145.35	$61.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$216.79	$90.36
11101 Biopsy of each additional growth of skin and/or tissue	35	20	$65.35	$27.46
17000 Destruction of skin growth	28	25	$133.11	$39.92
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$151.89	$62.56
17110 Destruction of up to 14 skin growths	19	18	$222.49	$88.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$215.80	$89.92

Medical Specialties & State Licenses

CMS Verified: 2024-07-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 9104207

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

NUCC Taxonomy Code: 363A00000X

State License AZ 4357

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Florida Blue (Bcbs Of Fl)

Y04VT (FL)

Commercial Insurance / Payer ID Rr Medicare

P01165507 (FL)

Practice Associates & Co-Workers

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

10 Associated Practitioners

Alexandra Majesty , PA

Physician Assistant

NPI 1134429665

Physician Assistant

Dr. Yvonne Romagosa , MD

Dermatology

NPI 1205046984

Doctor of Medicine (M.D.)

Saige Laxson , PA-C

Physician Assistant

NPI 1285014910

Physician Assistant (Certified)

Jessica Collins , APRN

Dermatology

NPI 1285103689

Advanced Practice Registered Nurse

Jessie Richie , PA-C

Physician Assistant

NPI 1376019208

Physician Assistant (Certified)

Dr. Gregory Barron , MD

Dermatology

NPI 1376705350

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

20 Historical Events

📍

Updated Practice Location July 27, 2024

Registered at 2220 SE OCEAN BLVD STE 301, STUART, FL 349963301 (Tel: 7722203339)

📍

Updated Business Mailing Address July 27, 2024

Registered at 2336 SE OCEAN BLVD STE 145, STUART, FL 349963310 (Tel: 7722203339)

📍

Updated Practice Location August 28, 2023

Registered at 1305 VALENTINE ST, MELBOURNE, FL 329013127 (Tel: 3212547717)

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Updated Business Mailing Address August 28, 2023

Registered at PO BOX 361095, MELBOURNE, FL 329361095 (Tel: 3212547717)

🔄

NPI Profile Reactivated March 06, 2019

Record officially reactivated for active practice on March 06, 2019

📍

Updated Practice Location March 06, 2019

Registered at 340 HEALD WAY STE 216, THE VILLAGES, FL 321636088 (Tel: 3523997295)

📍

Updated Business Mailing Address March 06, 2019

Registered at 340 HEALD WAY STE 216, THE VILLAGES, FL 321636088

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2019

Physician Assistant (License #4357 in AZ)

⚠️

NPI Profile Deactivated February 22, 2019

Record deactivated on February 22, 2019

✅

NPI Profile Active May 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2017

Registered at 8415 N PIMA RD STE 212, SCOTTSDALE, AZ 852584485 (Tel: 9414418270)

📍

Updated Business Mailing Address May 09, 2017

Registered at 8415 N PIMA RD #212, SCOTTSDALE, AZ 85258

👤

Provider Name / Credentials Updated May 09, 2017

Recorded as JENNIFER DAVIS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2017

Physician Assistant (License #9104207 in FL)

✅

NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2015

Registered at 8620 E COUNTY ROAD 466, THE VILLAGES, FL 321623670 (Tel: 3523997295)

📍

Updated Business Mailing Address July 16, 2015

Registered at 8620 E COUNTY ROAD 466, THE VILLAGES, FL 321623670

👤

Provider Name / Credentials Updated July 16, 2015

Recorded as JENNIFER DAVIS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Physician Assistant (License #9104207 in FL)

🟢

Initial NPI Registration & Enumeration August 08, 2007

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: 1790976330

Entity Type:

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

Enumeration Date: August 08, 2007

Last Update: July 27, 2024

Deactivation Date: February 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2336 Se Ocean Blvd Ste 145

Stuart, FL 349963310

Phone: 7722203339

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.