ALYSABETH VITITOE HOLMES PA-C
NPI 1164206348
Physician Assistant in Panama City, FL

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment
120 N RICHARD JACKSON BLVD, PANAMA CITY, FL 32407(850) 804-3600(850) 804-3601 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Aug 21, 2023 (2 updates tracked since 2023).

About Alysabeth Vititoe Holmes Pa-c NPPES

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

ALYSABETH VITITOE HOLMES PA-C (NPI 1164206348) is an individual physician assistant in Panama City, Florida, licensed in Florida (PA9118173) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164206348
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSABETH VITITOE HOLMESCredential: PA-C
Location Address120 N RICHARD JACKSON BLVDPanama City, FL 32407-2521
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Fax(850) 804-3601
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 21, 2023
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1164206348 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 · PA9118173
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.
120 N RICHARD JACKSON BLVD, Panama City, FL 32407

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

Alysabeth Vititoe Holmes 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 ID6305388992
PECOS Enrollment IDI20240611002268
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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32407 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 7

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

Family Medicine
120 N RICHARD JACKSON BLVD
PANAMA CITY, FL 32407
Speech-Language Pathologist
120 N RICHARD JACKSON BLVD, SUITE 130
PANAMA CITY BEACH, FL 32407
Nurse Practitioner
120 N RICHARD JACKSON BLVD
PANAMA CITY BEACH, FL 32407
Physical Therapist
120 N RICHARD JACKSON BLVD, SUITE 30
PANAMA CITY BEACH, FL 32407
Physical Therapist
120 N RICHARD JACKSON BLVD, STE 130
PANAMA CITY, FL 32407
Occupational Therapist (Pediatrics)
120 N RICHARD JACKSON BLVD, SUITE 130
PANAMA CITY, FL 32407
Physical Therapist
120 N RICHARD JACKSON BLVD, SUITE 130
PANAMA CITY, FL 32407

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 Alysabeth Holmes's NPI number?

The NPI number for Alysabeth Holmes is 1164206348. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Alysabeth Holmes located?

Alysabeth Holmes practices at 120 N Richard Jackson Blvd, Panama City, FL 32407. The listed phone number is (850) 804-3600.

What is Alysabeth Holmes's specialty?

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

Is Alysabeth Holmes enrolled in Medicare?

Yes. Alysabeth Holmes 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 Alysabeth Holmes accept?

Health plans from Ambetter Health and Ambetter of Alabama list Alysabeth Holmes 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 Alysabeth Holmes affiliated with any hospitals?

According to CMS data, Alysabeth Holmes is affiliated with Sacred Heart Hospital, Ascension Sacred Heart Bay and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Alysabeth Holmes was last updated on July 15, 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.