Look up the most recent NPI and PECOS records

Jennifer Shay Mucha

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER MUCHA.

Based on the most recent information from CMS, provider Jennifer Shay Mucha is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1518679745
Provider Type
Individual
Full Name
Mucha, Jennifer Shay
Title
Ms.
Credential
AGAC-NP

Gender
Female
Sole Proprietor
No
Enumeration Date
12/19/2022
Last Updated
2/11/2025

Contact Information

Practice Location

5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

(904) 223-3321

(904) 223-2169

Mailing Location

5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

(904) 223-3321

(904) 223-2169

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11021560 Florida
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11021560 Florida
Code 363LA2200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11021560 Florida

Jennifer Shay Mucha

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Chang, Anna Y

Conigliaro, Michael Joseph

Spicer, Lakesha Nichole

Spruance, Jami

Romecki, Bree Z Brasch

Keever, Jessica Lynne

Kapp, Melissa Diane

Wahl, Agnes Wozniak

Moreno-Lackman, Andrea

Goolsby-Zak, Ashley Michele