CODY WALLACE DEWITT PA
NPI 1073397998
Physician Assistant - Medical in Largo, FL
About Cody Wallace Dewitt Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY WALLACE DEWITT PA (NPI 1073397998) is an individual medical provider in Largo, Florida, licensed in Florida (9117778) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and maintains a secondary practice location in Clearwater.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cody Wallace Dewitt Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Bismarck
Acute Care Hospitals · Bismarck, NDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LARGO, FL 33770
LARGO, FL 33770
LARGO, FL 33770
LARGO, FL 33770
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 Cody Dewitt's NPI number?
The NPI number for Cody Dewitt is 1073397998. It was assigned to this individual provider in the NPPES registry on August 22, 2023.
Where is Cody Dewitt located?
Cody Dewitt practices at 201 14th St SW, Largo, FL 33770. The listed phone number is (727) 588-5200.
What is Cody Dewitt's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Cody Dewitt enrolled in Medicare?
Yes. Cody Dewitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Cody Dewitt accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Cody Dewitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Cody Dewitt affiliated with any hospitals?
According to CMS data, Cody Dewitt is affiliated with Sanford Medical Center Bismarck.
When was this NPI record last updated?
The NPPES record for Cody Dewitt was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Cody Wallace Dewitt, PA · NPI 1073397998
Medical physician in Largo, Florida. Individual provider, active in the CMS NPPES registry since August 22, 2023.
## Identity
- **NPI:** 1073397998 (Entity type: Individual)
- **Enumerated:** August 22, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 9117778 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 14TH ST SW, Largo, FL 33770-3133
- **Phone:** (727) 588-5200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073397998) · Data from the CMS NPPES public registry.