Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jillian Elise Lam , PA-C

Physician Assistant β€’ Jacksonville, FL

Active NPI 1396517892 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

4500 San Pablo Rd S
Jacksonville, FL 322241865

Call 9049532000 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

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Organization at the Same NPPES Address or Phone
Mayo Clinic Jacksonville Facility NPI 1790772317

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

CMS Doctors and Clinicians lists 1 group name: Mayo Clinic Jacksonville. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

30-day fills

855 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$36,811 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,737.69 across 53 records.

By nature of payment

  • Food and Beverage: $1,509.69 across 51 records.
  • Travel and Lodging: $201.00 across 1 record.
  • Education: $27.00 across 1 record.

Reporting-company totals (3 largest of 19)

  • Medtronic, Inc.: $435.75 across 8 records.
  • Sumitomo Pharma America, Inc.: $247.44 across 10 records.
  • Ferring Pharmaceuticals Inc.: $156.36 across 5 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jillian Lam has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

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

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jillian Lam 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

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 407 clinicians with data). Median for this group: 208. Middle half: 60 to 691.

More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 407 clinicians with data). Median for this group: $6,463. Middle half: $624 to $68,077.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.

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 Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 53 records totaling $1,737.69.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Travel and Lodging
In-kind items and services
INTERSTIM General $201.00
Procept Biorobotics Corporation
Food and Beverage
In-kind items and services
AQUABEAM ROBOTIC SYSTEM General $125.18
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $117.45
AngioDynamics, Inc.
Food and Beverage
In-kind items and services
NANOKNIFE General $100.39
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTERSTIM General $57.62
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTERSTIM General $52.57
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTERSTIM General $52.00
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $51.64
Laborie Medical Technologies Corp.
Food and Beverage
Cash or cash equivalent
eSense 7Fr Abdominal Catheter General $46.00
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $39.24
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $32.75
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $30.57
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $30.11
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Advantage System General $29.26
Pfizer Inc.
Food and Beverage
In-kind items and services
XTANDI General $29.15
Pfizer Inc.
Food and Beverage
In-kind items and services
XTANDI General $28.98
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Nubeqa General $27.48
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $27.17
Medtronic, Inc.
Education
In-kind items and services
INTERSTIM General $27.00
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $25.78
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTERSTIM General $25.00
ACCORD HEALTHCARE, INC.
Food and Beverage
In-kind items and services
Camcevi General $24.99
ACCORD HEALTHCARE, INC.
Food and Beverage
In-kind items and services
Camcevi General $24.95
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $24.39
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $24.23

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 121 7,565 $1,171.06 69
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 42 382 $482.41 36
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 39 333 $130.18 38
Finasteride Finasteride 36 2,830 $499.38 20
Cefdinir Cefdinir 31 257 $579.53 30
Cephalexin Cephalexin 30 202 $103.44 29
Gemtesa Vibegron 28 1,380 $20,926.78 13
Ciprofloxacin Hcl Ciprofloxacin Hcl 25 153 $77.56 22
Estradiol Estradiol 24 2,484 $1,568.15 21
Doxycycline Hyclate Doxycycline Hyclate 21 232 $211.22 20
Alfuzosin Hcl Er Alfuzosin Hcl 20 1,500 $295.96 β€”
Myrbetriq Mirabegron 17 570 $8,722.79 β€”
Ampicillin Trihydrate Ampicillin Trihydrate 16 127 $109.32 14
Levofloxacin Levofloxacin 15 143 $87.46 15
Potassium Citrate Er Potassium Citrate 15 890 $1,085.93 β€”
Doxycycline Monohydrate Doxycycline Monohydrate 14 186 $308.82 14
Fluconazole Fluconazole 12 39 $42.25 12
Oxybutynin Chloride Er Oxybutynin Chloride 12 930 $408.43 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9120220

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 FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250820004729

Enrollment State Jurisdiction

FL

PECOS Control ID

8224577994

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Clinicians Sharing This Practice Address or Phone

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

37 listed
Dr. Zaid Abdel Rahman , MD

Internal Medicine - Hematology

NPI 1003299330

Doctor of Medicine (M.D.)

Dr. Mohammed Ahmed , MD

Radiology - Diagnostic Radiology

NPI 1013335876

Doctor of Medicine (M.D.)

Dr. Violeta Alvarez Retamales , MD

Internal Medicine - Nephrology

NPI 1013401090

Doctor of Medicine (M.D.)

Ryan Asencios , PA-C

Physician Assistant

NPI 1003484437

Physician Assistant (Certified)

Melinda Barber , ARNP

Nurse Practitioner

NPI 1013358613

Advanced Registered Nurse Practitioner

NPI 1013273986

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Business Mailing Address September 03, 2025

Registered at PO BOX 860912, MINNEAPOLIS, MN 554860912 (Tel: 9049532000)

πŸ“
Updated Practice Location June 11, 2025

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2025

Physician Assistant (license number reported to NPPES: FL PA9120220)

πŸ“
Updated Practice Location April 07, 2025

Registered at 4350 TOWNE CENTRE DR STE 2200, EVANS, GA 308093346 (Tel: 7067220705)

πŸ“
Updated Business Mailing Address April 07, 2025

Registered at 4350 TOWNE CENTRE DR STE 2200, EVANS, GA 308093346 (Tel: 7067220705)

βœ…
NPI Profile Active October 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 27, 2023

Registered at 818 SAINT SEBASTIAN WAY STE 403, AUGUSTA, GA 309012654 (Tel: 7067220705)

πŸ“
Business Mailing Address (Initial Record) October 27, 2023

Registered at 818 SAINT SEBASTIAN WAY STE 403, AUGUSTA, GA 309012654 (Tel: 7067220705)

πŸ‘€
Provider Name / Credentials (Initial Record) October 27, 2023

Recorded as JILLIAN LAM, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2023

Physician Assistant

🟒
Initial NPI Registration & Enumeration October 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396517892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2023
Last Update: September 03, 2025
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

Po Box 860912

Minneapolis, MN 554860912

Phone: 9049532000

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.