GUERDA ETIENNE P.A.
NPI 1124171384
Physician Assistant in Leesburg, FL

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
312 S LAKE ST, LEESBURG, FL 34748(352) 314-9300(352) 314-9212 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Guerda Etienne P.a. NPPES

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

GUERDA ETIENNE P.A. (NPI 1124171384) is an individual physician assistant in Leesburg, Florida, licensed in Florida (PA9103734) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124171384
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGUERDA ETIENNECredential: P.A.
Location Address312 S LAKE STLeesburg, FL 34748-5934
Mailing Address1109 Sw 10th StOcala, FL 34474-2725 · (352) 629-3455 · Fax (352) 629-8642
Fax(352) 314-9212
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1124171384 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 · PA9103734
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.
312 S LAKE ST, Leesburg, FL 34748

Secondary Practice Location 1

Location 12555 S Kirkman RdOrlando, FL 32811-2346 · Phone (407) 362-2030

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

Guerda Etienne P.a. 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 ID4587018908
PECOS Enrollment IDI20231003002920
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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 3

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
312 S LAKE ST
LEESBURG, FL 34748
Physical Therapist
312 S LAKE ST
LEESBURG, FL 34748
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
312 S LAKE ST
LEESBURG, FL 34748

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 Guerda Etienne's NPI number?

The NPI number for Guerda Etienne is 1124171384. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Guerda Etienne located?

Guerda Etienne practices at 312 S Lake St, Leesburg, FL 34748. The listed phone number is (352) 314-9300.

What is Guerda Etienne's specialty?

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

Is Guerda Etienne enrolled in Medicare?

Yes. Guerda Etienne 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.

When was this NPI record last updated?

The NPPES record for Guerda Etienne was last updated on March 22, 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.