Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Malisa Marie Wetmore , PA-C

Physician Assistant โ€ข Jacksonville, FL

Active NPI 1528029626 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1301 Palm Ave Ste 600
Jacksonville, FL 322078432

Call 9042027300 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

1301 Palm Ave Ste 600

Jacksonville, FL 322078432

Telephone 9042027300
Fax 9042022754
Organization at the Same NPPES Address or Phone
Baptist Md Anderson Cancer Physicians Inc Facility NPI 1144098195

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 2 distinct group names: Baptist Md Anderson Cancer Physicians Inc; Effingham Rehab Services, Llc. 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

1998

Medicare-allowed amount

About $1,842 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $1,436 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

53 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

$2,610 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 โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $299.55 across 3 records.

By nature of payment

  • Food and Beverage: $299.55 across 3 records.

Reporting-company totals

  • ABIOMED: $148.67 across 1 record.
  • Solventum Corporation: $135.90 across 1 record.
  • Innovation Technologies Inc: $14.98 across 1 record.

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

28 years (graduated 1998)

CMS Doctors and Clinicians data list 1998 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

2006

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, โ€œDoes your provider accept Medicare as full payment?โ€

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

Enrolled in Medicare (PECOS)

Malisa Wetmore 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 Malisa Wetmore 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

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 407 clinicians with data). Median for this group: 208. Middle half: 60 to 691.

Fewer Part D prescriptions than 80% 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

Close to the middle for 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.

Close to the middle for 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.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Malisa Wetmore are from 2023.

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 Physician & Other Practitioners (2023), 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 ยท 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 ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $299.55.

Manufacturer Payment Nature Product Type Amount ($)
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $148.67
Solventum Corporation
Food and Beverage
Cash or cash equivalent
V.A.C.INSTILL General $135.90
Innovation Technologies Inc
Food and Beverage
In-kind items and services
IRRISEPT General $14.98

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

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
34 31 $228.00 $54.18

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 30 117 $112.66 22
Celecoxib Celecoxib 11 658 $2,497.66 โ€”

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: 2025-05-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA3665

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2905663-00 (FL)

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

I20101115001178

Enrollment State Jurisdiction

FL

PECOS Control ID

6406041508

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

Baptist Md Anderson Cancer Physicians Inc

14546 Old Saint Augustine Rd, Jacksonville, FL 322585469

Phone: 9042027300

Effingham Rehab Services, Llc

1390 Boone Ave Ext, Kingsland, GA 315486515

Phone: 4192213717

Baptist Md Anderson Cancer Physicians Inc

1301 Palm Ave, Jacksonville, FL 322078432

Phone: 9042027300

Clinicians Sharing This Practice Address or Phone

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

40 listed
NPI 1770859944

Doctor of Medicine (M.D.)

Dr. Mohammed Alqawasma , MD

Internal Medicine - Pulmonary Disease

NPI 1033671276

Doctor of Medicine (M.D.)

Diana Amenya , APRN

Nurse Practitioner

NPI 1396281028

Advanced Practice Registered Nurse

Christelle Ammons , PA-C

Physician Assistant

NPI 1093291205

Physician Assistant (Certified)

Dr. Cynthia Anderson , MD

Radiology - Radiation Oncology

NPI 1174724819

Doctor of Medicine (M.D.)

Dr. Jorge Antunez De Mayolo , MD

Internal Medicine - Hematology & Oncology

NPI 1407844798

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
๐Ÿ“
Updated Business Mailing Address May 19, 2025

Registered at PO BOX 746654, ATLANTA, GA 303746654 (Tel: 9042022092)

๐Ÿ“
Updated Practice Location January 03, 2025

Registered at 1301 PALM AVE STE 600, JACKSONVILLE, FL 322078432 (Tel: 9042027300)

๐Ÿ“
Updated Practice Location March 26, 2019

Registered at 1301 PALM AVE, JACKSONVILLE, FL 322078432 (Tel: 9042027300)

๐Ÿ“
Updated Business Mailing Address March 26, 2019

Registered at PO BOX 45278, JACKSONVILLE, FL 322325278 (Tel: 9042022092)

โœ…
NPI Profile Active December 06, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 06, 2007

Registered at 4555 EMERSON ST, UFJP BONE AND JOINT CENTER AT EMERSON, JACKSONVILLE, FL 322074966 (Tel: 9043460843)

๐Ÿ“
Business Mailing Address (Initial Record) December 06, 2007

Registered at PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 322314008 (Tel: 9042443199)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 06, 2007

Recorded as MALISA WETMORE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2007

Physician Assistant (license number reported to NPPES: FL PA3665)

๐ŸŸข
Initial NPI Registration & Enumeration March 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528029626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2006
Last Update: May 19, 2025
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

Po Box 746654

Atlanta, GA 303746654

Phone: 9042022092

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.