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ALYSSA HENRY PROFFITT PA
NPI 1003301995
Physician Assistant in Hawthorne, FL

Active since June 25, 2018PECOS Enrolled
78.18/100
CMS Quality Rating
212 LAKE RAY RD, HAWTHORNE, FL 32640(352) 284-1402 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jun 25, 2018 (2 updates tracked since 2018).

About Alyssa Henry Proffitt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA HENRY PROFFITT PA (NPI 1003301995) is an individual physician assistant in Hawthorne, Florida and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003301995
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA HENRY PROFFITTCredential: PA
Location Address212 LAKE RAY RDHawthorne, FL 32640-5706
Mailing Address208 Lake Ray RdHawthorne, FL 32640-5706 · (352) 284-1402
Phone(352) 284-1402
Sole ProprietorNo
Enumeration DateJune 25, 2018
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1003301995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
212 LAKE RAY RD, Hawthorne, FL 32640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Henry Proffitt Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Proffitt's NPI number?

The NPI number for Alyssa Proffitt is 1003301995. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Alyssa Proffitt located?

Alyssa Proffitt practices at 212 Lake Ray Rd, Hawthorne, FL 32640. The listed phone number is (352) 284-1402.

What is Alyssa Proffitt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Proffitt enrolled in Medicare?

Yes. Alyssa Proffitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Proffitt was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.