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DR. ANN ALLISA CHURCH MD
NPI 1205905486
Dermatology - Dermatopathology in St Johns, FL

Active since November 06, 2006PECOS Enrolled
132 DUNDEE PL, ST JOHNS, FL 32259(800) 330-6770(954) 633-3217 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ann Allisa Church Md NPPES

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

DR. ANN ALLISA CHURCH MD (NPI 1205905486) is an individual dermatopathology provider in St Johns, Florida, licensed in Florida (ME97605) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205905486
Entity TypeIndividualFemale
Primary Taxonomy207ND0900X
Provider Legal NameDR. ANN ALLISA CHURCHCredential: MD
Location Address132 DUNDEE PLSt Johns, FL 32259-8223
Mailing Address14275 Midway Rd Ste 400Addison, TX 75001-3661 · (866) 697-8378 · Fax (610) 271-4245
Phone(800) 330-6770
Fax(954) 633-3217
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1205905486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in FL · ME97605
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Also ListedDermatologyTaxonomy 207N00000X · License ME97605 (FL)
132 DUNDEE PL, St Johns, FL 32259
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Other Names 1

Former Name (1)Ann Allisa Bauernfiend

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ann Allisa Church Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Ann Church reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bernhardt Laboratories Inc
14 mi
Anatomic Pathology & Clinical Pathology
3728 PHILIPS HWY STE 64
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1235893405 (904) 296-2333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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

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

AMERIPATH FLORIDA LLC
Clinical Medical Laboratory
132 DUNDEE PL
ST JOHNS, FL 32259
St. Johns County (800) 330-6770

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 Ann Church's NPI number?

The NPI number for Ann Church is 1205905486. It was assigned to this individual provider in the NPPES registry on November 6, 2006. The provider is also known as Ann Allisa Bauernfiend.

Where is Ann Church located?

Ann Church practices at 132 Dundee Pl, St Johns, FL 32259. The listed phone number is (800) 330-6770.

What is Ann Church's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Ann Church enrolled in Medicare?

Yes. Ann Church is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ann Church's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Church reassigns Medicare benefits to Bernhardt Laboratories Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann Church's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ann Church accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Anthem Blue Cross and Blue Shield list Ann Church 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.

When was this NPI record last updated?

The NPPES record for Ann Church was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.