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MRS. DARA MADELYN VINO PA
NPI 1023288917
Physician Assistant - Medical in Lake Mary, FL

Active since March 06, 2008Opted out of Medicare · through Oct 1, 2026
156 N 4TH ST, LAKE MARY, FL 32746(407) 644-2990(407) 644-4370 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2023, Oct 10, 2019 (2 updates tracked since 2019).

About Mrs. Dara Madelyn Vino Pa NPPES

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

MRS. DARA MADELYN VINO PA (NPI 1023288917) is an individual medical provider in Lake Mary, Florida, licensed in Florida (PA9113919) and active in the NPI registry since March 2008. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023288917
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. DARA MADELYN VINOCredential: PA
Location Address156 N 4TH STLake Mary, FL 32746-2963
Mailing Address156 N 4th StLake Mary, FL 32746-2963 · (407) 644-2990
Phone(407) 644-2990
Fax(407) 644-4370
Sole ProprietorNo
Enumeration DateMarch 6, 2008
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1023288917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in FL · PA9113919✔ Licensed in CO · PA-2744
Also ListedPhysician AssistantTaxonomy 363A00000X · License AMD-936 (HI)
156 N 4TH ST, Lake Mary, FL 32746
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Dara Madelyn Vino Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Dara Vino's NPI number?

The NPI number for Dara Vino is 1023288917. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Dara Vino located?

Dara Vino practices at 156 N 4th St, Lake Mary, FL 32746. The listed phone number is (407) 644-2990.

What is Dara Vino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dara Vino enrolled in Medicare?

No. Dara Vino has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dara Vino was last updated on March 27, 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.