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

Jill Rae Beauregard, PA

Individual provider Medical Physician Assistant · NPI 1568546596

Jill Rae Beauregard, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2006, 20 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
20
Licensed in
FL, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone: (239) 215-4065
Fax: (239) 215-4067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9800 S Healthpark Dr Ste 320, Fort Myers, FL 33908-3630 — (239) 343-6350

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9110279 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1444 (TN)

Record details

NPI number1568546596
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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