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ALDEN ANN MUSTARD PA-C
NPI 1225885890
Physician Assistant in Lake City, FL

Active since May 02, 2024PECOS EnrolledAccepts Medicare Assignment
216 SE CORRECTIONS WAY, LAKE CITY, FL 32025(386) 292-7054 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Alden Ann Mustard Pa-c NPPES

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

ALDEN ANN MUSTARD PA-C (NPI 1225885890) is an individual physician assistant in Lake City, Florida and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225885890
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALDEN ANN MUSTARDCredential: PA-C
Location Address216 SE CORRECTIONS WAYLake City, FL 32025-2013
Mailing Address2557 Dellwood AveJacksonville, FL 32204-3525 · (190) 486-0745
Phone(386) 292-7054
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1225885890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
216 SE CORRECTIONS WAY, Lake City, FL 32025
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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 and accepts Medicare assignment

Alden Ann Mustard 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 ID7416423942
PECOS Enrollment IDI20260421003082
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 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 6

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

KRISTYN ANN FAIRCLOTH LCSW
Social Worker (Clinical)
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025
Columbia County (386) 292-7198
MS. TERNITA LASHARNE SMITH PMHNP-BC
Registered Nurse
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025
Columbia County (386) 754-7600
MARTHA NINOSKA PASTORA NP
Nurse Practitioner (Family)
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025
Columbia County (386) 292-7212
DR. ANA FLAVIA HERNANDEZ PEREZ DMD
Dentist
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025
Columbia County (386) 754-7600
DR. MYKHUE NGUYEN-TRAN DMD
Dentist (General Practice)
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025
Columbia County (386) 754-7600
EDWARD NELSON MORSE DMD
Dentist (General Practice)
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025
Columbia County (386) 292-7016

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 Alden Mustard's NPI number?

The NPI number for Alden Mustard is 1225885890. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Alden Mustard located?

Alden Mustard practices at 216 SE Corrections Way, Lake City, FL 32025. The listed phone number is (386) 292-7054.

What is Alden Mustard's specialty?

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

Is Alden Mustard enrolled in Medicare?

Yes. Alden Mustard 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 Alden Mustard was last updated on May 2, 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.