Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikaela Rae De Jesus, PA-C

Individual provider Surgical Physician Assistant · NPI 1346028198

Mikaela Rae De Jesus, PA-C is a Physician Assistant in Celebration, Florida. Qualified in 2023, 3 years ago. Practices with Celebration Orthopedic and Sports Medicine Institute Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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

2954 Mallory Cir Ste 101
Celebration, FL 34747-1822
Phone: (321) 939-0222
Fax: (321) 939-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9117804 (FL)

Record details

NPI number1346028198
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESNovember 30, 2024
Certification dateNovember 30, 2024

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 Celebration Orthopedic And Sports Medicine Institute Inc. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Celebration