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TINA JING-YUEN SO PA-C
NPI 1013613082
Physician Assistant in Clermont, FL

Active since February 01, 2023PECOS Enrolled
1900 DON WICKHAM DR STE 120, CLERMONT, FL 34711(352) 241-7050 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tina Jing-yuen So Pa-c NPPES

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

TINA JING-YUEN SO PA-C (NPI 1013613082) is an individual physician assistant in Clermont, Florida and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2025).

NPPES Registry Identity

NPI1013613082
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTINA JING-YUEN SOCredential: PA-C
Location Address1900 DON WICKHAM DR STE 120Clermont, FL 34711-1980
Mailing Address10504 Cory Lake DrTampa, FL 33647-2710
Phone(352) 241-7050
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2025
Enumeration DateFebruary 1, 2023
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1013613082 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.
1900 DON WICKHAM DR STE 120, Clermont, FL 34711
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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)

Tina Jing-yuen So Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820589195
PECOS Enrollment IDI20251114000581
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 34711 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMARA NASSAR RICHARDS M.D.
Obstetrics & Gynecology
1900 DON WICKHAM DR STE 120
CLERMONT, FL 34711
Lake County (352) 241-7050

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 Tina So's NPI number?

The NPI number for Tina So is 1013613082. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Tina So located?

Tina So practices at 1900 Don Wickham Dr Ste 120, Clermont, FL 34711. The listed phone number is (352) 241-7050.

What is Tina So's specialty?

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

Is Tina So enrolled in Medicare?

Yes. Tina So is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina So was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.