Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lynn Rake, PA-C

Individual provider Physician Assistant · NPI 1215447784

Jennifer Lynn Rake, PA-C is a Physician Assistant in Ormond Beach, Florida. Qualified in 2017, 9 years ago. Practices with Ormond Medical Arts, a 38-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

77 W Granada Blvd
Ormond Beach, FL 32174-6302
Phone: (386) 677-0453
Fax: (386) 677-0463
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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 PA9110633 (FL)

Record details

NPI number1215447784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESFebruary 16, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ormond Medical Arts — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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