Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley Lane Beuttell

Individual provider Medical Physician Assistant · NPI 1508647330

Haley Lane Beuttell is a Physician Assistant in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with North Florida Surgeons PA, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

10475 Centurion Pkwy N Ste 303
Jacksonville, FL 32256-5004
Phone: (904) 399-0350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9118024 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9118024 (FL)

Record details

NPI number1508647330
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2023
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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