AUDRA DESIREE PACKARD
NPI 1164296398
Physician Assistant in Santa Cruz, CA

Q: What is Audra Packard's NPI number?

The NPI number for Audra Packard is 1164296398. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Q: What is Audra Packard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audra Packard was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2023PECOS Enrolled

1555 SOQUEL DR, SANTA CRUZ, CA 95065(831) 462-7700 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Audra Desiree Packard NPPES

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

AUDRA DESIREE PACKARD (NPI 1164296398) is an individual physician assistant in Santa Cruz, California, licensed in California (63854) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164296398

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAUDRA DESIREE PACKARD

Location Address1555 SOQUEL DRSanta Cruz, CA 95065-1705

Mailing Address2760 El Cerrito StSan Luis Obispo, CA 93401-4671 · (805) 781-0406

Phone(831) 462-7700

Sole ProprietorYes

Enumeration DateNovember 8, 2023

Last NPPES UpdateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1164296398 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 CA · 63854

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.

1555 SOQUEL DR, Santa Cruz, CA 95065

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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 (PECOS)

Audra Desiree Packard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

185 services184 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

108 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$77.84 typical visit price

range $21.02 – $153.16

Typical copayment $19.46 (range $5.25 – $38.29)

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.

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