Jared A. Destackelberg, PA
Physician Assistant · Ocala, FL
Jared A. Destackelberg, PA is a physician assistant with a practice address in Ocala, Florida, and NPI 1104136399, issued on Oct 21, 2010. Check the license (Florida PAT 9105672, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Jared A. Destackelberg
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PAT 9105672 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1901 SE 18TH Ave, Ocala, FL 34471
- Phone
- (352) 622-3360
- Enumerated
- Oct 21, 2010
- Record last updated
- Oct 21, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (352) 671-3269
- Medicare enrollment
- Enrolled (PECOS I20101115000378); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,257 in Florida → Look up another NPI →
Also registered at 1901 SE 18TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Stephanie Heald, APRNFamily Nurse Practitioner1184347858
Verify Jared A. Destackelberg in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license PAT 9105672Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average physician assistant in 2024
11 Medicare Part D claims, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $68.42
3 payments; by number, the most common kind was food and beverage; the largest payer was Medtronic, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Neurosurgery And Spine SpecialistsSarasota, FL
- Smh Physician Services IncSarasota, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jared A. Destackelberg among 10,257 physician assistant records in Florida
Jared A. Destackelberg, PA is one of 10,257 physician assistant records with a practice address in Florida. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 25% of them.
- NPI issued2010 · 25% of these records are older, 72% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2010 · median 2018 among the 5,867 with a school on file
- Record last updated2010 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
118 physician assistant records list a practice address in Ocala
They are 118 of the 4,935 NPPES records with a practice address in Ocala, and 10,257 physician assistant records in Florida.
All 10,257 in Florida → Every provider in Ocala → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Larry Applebee, PA-COcala, FL 344711750317814
- Alonso Avendano, PA-COcala, FL 344711043243298
- Julie Barnes, PAOcala, FL 344711083634117
- Ranae Berry, PA-COcala, FL 344711033192349
- Ruth Brouwer, PA-COcala, FL 344711588699672
- Karen Coy, PACOcala, FL 344711740219070
- Jessica Gomillion, PAOcala, FL 344711548283799
- Briggs Greene, PA-COcala, FL 344711144258039
Common questions
What is Jared A. Destackelberg, PA's NPI number?
Jared A. Destackelberg, PA's National Provider Identifier (NPI) is 1104136399, issued on Oct 21, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Jared A. Destackelberg, PA located?
The NPPES record lists a practice address at 1901 SE 18TH Ave, Ocala, FL, 34471. Phone: (352) 622-3360. Providers update this record themselves, so call before visiting.
How can I verify Jared A. Destackelberg, PA's license?
NPPES lists Florida license number PAT 9105672, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jared A. Destackelberg, PA prescribe under Medicare Part D?
In 2024, Jared A. Destackelberg, PA had 11 Medicare Part D claims; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.