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ENRIQUE XAVIER VACA PA-C
NPI 1104310267
Physician Assistant in Clearwater, FL

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
525 S HERCULES AVE STE 102, CLEARWATER, FL 33764(727) 442-6068 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Enrique Xavier Vaca Pa-c NPPES

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

ENRIQUE XAVIER VACA PA-C (NPI 1104310267) is an individual physician assistant in Clearwater, Florida, licensed in Florida (PA9110684) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104310267
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameENRIQUE XAVIER VACACredential: PA-C
Location Address525 S HERCULES AVE STE 102Clearwater, FL 33764-6320
Mailing Address13324 Fawn Lily DrRiverview, FL 33579-0010 · (786) 382-6911
Phone(727) 442-6068
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2018
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1104310267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9110684
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.
525 S HERCULES AVE STE 102, Clearwater, FL 33764
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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 and accepts Medicare assignment

Enrique Xavier Vaca Pa-c 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.

PECOS PAC ID2860736998
PECOS Enrollment IDI20181130000893
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

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33764 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.

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 Enrique Vaca's NPI number?

The NPI number for Enrique Vaca is 1104310267. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Enrique Vaca located?

Enrique Vaca practices at 525 S Hercules Ave Ste 102, Clearwater, FL 33764. The listed phone number is (727) 442-6068.

What is Enrique Vaca's specialty?

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

Is Enrique Vaca enrolled in Medicare?

Yes. Enrique Vaca 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.

Is Enrique Vaca affiliated with any hospitals?

According to CMS data, Enrique Vaca is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Enrique Vaca was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.