LOREN CAPTAIN PA-C
NPI 1053202960
Physician Assistant in Daytona Beach, FL

Active since July 10, 2025PECOS Enrolled
222 S PENINSULA DR, DAYTONA BEACH, FL 32118(386) 310-2160(386) 310-2106 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Jul 10, 2025 (2 updates tracked since 2025).

About Loren Captain Pa-c NPPES

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

LOREN CAPTAIN PA-C (NPI 1053202960) is an individual physician assistant in Daytona Beach, Florida and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2025).

NPPES Registry Identity

NPI1053202960
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLOREN CAPTAINCredential: PA-C
Location Address222 S PENINSULA DRDaytona Beach, FL 32118-4422
Mailing Address222 S Peninsula DrDaytona Beach, FL 32118-4422
Fax(386) 310-2106
Sole ProprietorYes
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2025
Enumeration DateJuly 10, 2025
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1053202960 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.
222 S PENINSULA DR, Daytona Beach, FL 32118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Loren Captain Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264938406
PECOS Enrollment IDI20251006001541
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32118 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 20

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

Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Internal Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118

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 Loren Captain's NPI number?

The NPI number for Loren Captain is 1053202960. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Loren Captain located?

Loren Captain practices at 222 S Peninsula Dr, Daytona Beach, FL 32118. The listed phone number is (386) 310-2160.

What is Loren Captain's specialty?

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

Is Loren Captain enrolled in Medicare?

Yes. Loren Captain is registered in the Medicare PECOS enrollment system.

Is Loren Captain affiliated with any hospitals?

According to CMS data, Loren Captain is affiliated with Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Loren Captain was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.