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

Mr. Jason Kotula, PA

Individual provider Physician Assistant · NPI 1548263882

Mr. Jason Kotula, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 2003, 23 years ago. Practices with Memorial Neurosurgery Group LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
23
Licensed in
CT, NY
In the registry since
2005
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

3627 University Blvd S Ste 415
Jacksonville, FL 32216-4299
Phone: (904) 296-2522
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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 009808 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 001621 (CT)

Record details

NPI number1548263882
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESFebruary 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Memorial Neurosurgery Group Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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