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VANESSA ADRIENNE PAUL APRN
NPI 1235810094
Nurse Practitioner - Family in Palmetto, FL

Active since July 26, 2023PECOS EnrolledAccepts Medicare Assignment
1800 4TH ST W, PALMETTO, FL 34221(617) 610-7872 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Jul 26, 2023 (2 updates tracked since 2023).

About Vanessa Adrienne Paul Aprn NPPES

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

VANESSA ADRIENNE PAUL APRN (NPI 1235810094) is an individual family provider in Palmetto, Florida, licensed in Florida (APRN11027563) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Sarasota Doctors Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235810094
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVANESSA ADRIENNE PAULCredential: APRN
Location Address1800 4TH ST WPalmetto, FL 34221-4304
Mailing Address1800 4th St WPalmetto, FL 34221-4304 · (617) 610-7872
Phone(617) 610-7872
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 26, 2023
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1235810094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11027563
1800 4TH ST W, Palmetto, FL 34221
Open in Google Maps ↗

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 and accepts Medicare assignment

Vanessa Adrienne Paul Aprn 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 ID2062869118
PECOS Enrollment IDI20231110000288
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 Reassignments

5

Medicare enrollment records show Vanessa Paul reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Florida Physician Network, LLC
3.2 mi
Internal Medicine
315 75TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 56 clinicians in this Medicare group
NPI 1376779496 (941) 761-1998
Island Hospitalist Group, Pl
17 mi
Hospitalist
6400 EDGELAKE DR
Sarasota, FL 34240
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1922438589 (941) 371-7700
Greater Tampa Bay Physician Specialists, LLC
30 mi
Surgery
602 S AUDUBON AVE, SUITE A
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
NPI 1528492287 (813) 877-1415
Total Gastroenterology PA
66 mi
Gastroenterology
7441 US HIGHWAY 27 N
Sebring, FL 33870
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
NPI 1487891792 (973) 715-7915
Post-Acute Physicians Of Florida, PLLC
186 mi
Physical Medicine & Rehabilitation
2525 SW 75TH AVE
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
NPI 1649603465 (305) 260-1852

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

Areas of Expertise CMS Part B claims 4

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
2,227 services420 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
363 services343 patients
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.
110 services34 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
31 services17 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100166
Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34221 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Vanessa Paul's NPI number?

The NPI number for Vanessa Paul is 1235810094. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Where is Vanessa Paul located?

Vanessa Paul practices at 1800 4th St W, Palmetto, FL 34221. The listed phone number is (617) 610-7872.

What is Vanessa Paul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vanessa Paul enrolled in Medicare?

Yes. Vanessa Paul 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.

Which organizations bill Medicare for Vanessa Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Paul reassigns Medicare benefits to 5 organizations: West Florida Physician Network, LLC (Bradenton, FL), Island Hospitalist Group, Pl (Sarasota, FL), Greater Tampa Bay Physician Specialists, LLC (Tampa, FL), Total Gastroenterology PA (Sebring, FL) and Post-Acute Physicians Of Florida, PLLC (Miami, FL). Each 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 Vanessa Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vanessa Paul accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Vanessa Paul 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 Vanessa Paul affiliated with any hospitals?

According to CMS data, Vanessa Paul is affiliated with Hca Florida Sarasota Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Vanessa Paul was last updated on July 22, 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.