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MS. AUDREY C SEVILLA-BALLEREAU PA-C
NPI 1225213200
Physician Assistant - Surgical in Tampa, FL

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
3003 W DR MARTIN LUTHER KING JR BLVD, 2ND MAB, TAMPA, FL 33607(813) 321-6580(813) 443-8135 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 13, 2023, Feb 28, 2022 (2 updates tracked since 2022).

About Ms. Audrey C Sevilla-ballereau Pa-c NPPES

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

MS. AUDREY C SEVILLA-BALLEREAU PA-C (NPI 1225213200) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9108569) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Mercy College (2007).

NPPES Registry Identity

NPI1225213200
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. AUDREY C SEVILLA-BALLEREAUCredential: PA-C
Location Address3003 W DR MARTIN LUTHER KING JR BLVD, 2ND MABTampa, FL 33607-6307
Mailing Address3003 W Dr Martin Luther King Jr Blvd, Mab 2nd FloorTampa, FL 33607 · (813) 321-6580
Phone(813) 321-6580
Fax(813) 443-8135
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2007
Enumeration DateJanuary 8, 2008
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1225213200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in FL · PA9108569✔ Licensed in GU · PA-070
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9108569 (FL)
3003 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
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Other Names 1

Former Name (1)Ms. Audrey C Sevilla Pa-c

Other Identifiers 1

Medicaid014813700FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Audrey C Sevilla-ballereau 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 ID9335223239
PECOS Enrollment IDI20151103000636
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services33 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

VICTOR KRIZAN
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JESSE BLAIR
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JAD HAMDEN MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
DR. GAGAN GNANESWARA MIDATHALA MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANTONIO FRANCISCO PEREZ
Psychiatry & Neurology (Psychiatry)
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANGALINA QUINONES DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
SAMANTHA BOGARD DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
GARRETT FORMAN MD, MPH
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126

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 Audrey Sevilla-ballereau's NPI number?

The NPI number for Audrey Sevilla-ballereau is 1225213200. It was assigned to this individual provider in the NPPES registry on January 8, 2008. The provider is also known as Ms. Audrey C Sevilla Pa-C.

Where is Audrey Sevilla-ballereau located?

Audrey Sevilla-ballereau practices at 3003 W Dr Martin Luther King Jr Blvd 2nd Mab, Tampa, FL 33607. The listed phone number is (813) 321-6580.

What is Audrey Sevilla-ballereau's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Audrey Sevilla-ballereau enrolled in Medicare?

Yes. Audrey Sevilla-ballereau 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 Audrey Sevilla-ballereau accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Audrey Sevilla-ballereau 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 Audrey Sevilla-ballereau affiliated with any hospitals?

According to CMS data, Audrey Sevilla-ballereau is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Audrey Sevilla-ballereau was last updated on April 13, 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.