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

Mr. Jason Kumlien, PA

Individual provider Physician Assistant · NPI 1699756155

Mr. Jason Kumlien, PA is a Physician Assistant in Lakeland, Florida. Qualified in 2001, 25 years ago. Practices with Watson Clinic LLP, a 362-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2005
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

1033 N Parkway Frontage Rd
Lakeland, FL 33803-0401
Phone: (863) 680-7267
Fax: (866) 264-8519
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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 PA9101869 (FL)

Record details

NPI number1699756155
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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