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Chase Victoria Broome , PA-C

Physician Assistant β€’ Jacksonville, FL

Active NPI 1073447330 Individual Practitioner Female Practitioner
Practice location in NPPES

2804 Saint Johns Bluff Rd S Ste 109
Jacksonville, FL 322463777

Call 9047279123 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2804 Saint Johns Bluff Rd S Ste 109

Jacksonville, FL 322463777

Telephone 9047279123
Fax 9048554255
Organization at the Same NPPES Address or Phone
Coastal Dermatology Pa Facility NPI 1366431769

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Ponte Vedra Beach, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Chase Broome as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

842 active clinicians are listed under Physician Assistant with a practice address in Jacksonville, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

20.5% of these 842 clinicians have the CMS telehealth indicator.

59.1% of these 842 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9121799

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

183 Landrum Ln Ste 201

Ponte Vedra Beach, FL 320823838

Phone: 9045671050

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Hector Gonzalez , MPAS

Physician Assistant - Medical

NPI 1427120500
NPI 1558350702

Doctor of Medicine (M.D.)

NPI 1538673058

Physician Assistant (Certified), Registered Dietitian Nutritionist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location July 15, 2026

Registered at 2804 SAINT JOHNS BLUFF RD S STE 109, JACKSONVILLE, FL 322463777 (Tel: 9047279123)

βœ…
NPI Profile Active June 11, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2026

Registered at 2902 224TH ST, LAKE CITY, FL 320242504 (Tel: 3863652704)

πŸ“
Business Mailing Address (Initial Record) June 11, 2026

Registered at 2902 224TH ST, LAKE CITY, FL 320242504 (Tel: 3863652704)

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2026

Recorded as CHASE BROOME, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Physician Assistant (license number reported to NPPES: FL PA9121799)

🟒
Initial NPI Registration & Enumeration June 11, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073447330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2026
Last Update: July 15, 2026
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

2902 224th St

Lake City, FL 320242504

Phone: 3863652704

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.