Primarywerx LLC
NPI 1629832357ActiveOrganization· Physician Assistant· St Johns, FL
Physician Assistant in St Johns, Florida, registered in NPPES in February 2024. The authorized official on file is Jennifer S. Matthews, PA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629832357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2024 |
| Last updated in NPPES | Jan 5, 2026 |
| Certified by provider | Jan 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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