LILIAN DANIELA MAIRENA PA
NPI 1114748548
Physician Assistant in Port St Lucie, FL

Active since October 18, 2024PECOS EnrolledAccepts Medicare Assignment
7710 S US HIGHWAY 1, PORT ST LUCIE, FL 34952(772) 335-5300(772) 200-2131 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lilian Daniela Mairena Pa NPPES

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

LILIAN DANIELA MAIRENA PA (NPI 1114748548) is an individual physician assistant in Port St Lucie, Florida, licensed in Florida (PA9119460) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with St Lucie Medical Center, and maintains a secondary practice location in Stuart.

NPPES Registry Identity

NPI1114748548
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILIAN DANIELA MAIRENACredential: PA
Location Address7710 S US HIGHWAY 1Port St Lucie, FL 34952-2320
Mailing Address7710 S Us Highway 1Port St Lucie, FL 34952-2320 · (772) 335-5300 · Fax (772) 200-2131
Fax(772) 200-2131
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
NPI 1114748548 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 · PA9119460
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.

7710 S US HIGHWAY 1, Port St Lucie, FL 34952

Secondary Practice Location 1

Location 12221 SE Ocean Blvd Ste 200Stuart, FL 34996-3341 · Phone (772) 446-7209 · Fax (772) 200-2131

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

Lilian Daniela Mairena 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.

PECOS PAC ID6709310659
PECOS Enrollment IDI20241114001692
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.

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 17

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

Physical Therapist (Orthopedic)
7710 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
7710 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952
Physical Therapy Assistant
7710 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Physical Therapist
7710 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Physician Assistant
7710 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952
Specialist
7710 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952
Podiatrist (Foot & Ankle Surgery)
7710 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
Physician Assistant
7710 S US HIGHWAY 1
PORT ST LUCIE, FL 34952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114748548, enumerated as an "individual" on October 18, 2024.

The provider is located at 7710 S US HIGHWAY 1 PORT ST LUCIE, FL 34952 and the phone number is (772) 335-5300.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.

Lilian Mairena is affiliated with: ST LUCIE MEDICAL CENTER.