MRS. CHANDLER LARSEN YEAZITZIS PA-C
NPI 1245609189
Physician Assistant in Middleburg, FL

Q: What is Chandler Yeazitzis's NPI number?

The NPI number for Chandler Yeazitzis is 1245609189. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Q: What is Chandler Yeazitzis's specialty?

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

Active since September 22, 2015PECOS EnrolledAccepts Medicare Assignment

1658 ST VINCENTS WAY STE 300, MIDDLEBURG, FL 32068(904) 276-5100(904) 276-5393 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 14, 2026, Nov 9, 2015 (2 updates tracked since 2015).

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About Mrs. Chandler Larsen Yeazitzis Pa-c NPPES

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

MRS. CHANDLER LARSEN YEAZITZIS PA-C (NPI 1245609189) is an individual physician assistant in Middleburg, Florida, licensed in Florida (PA9109042) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245609189

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. CHANDLER LARSEN YEAZITZISCredential: PA-C

Location Address1658 ST VINCENTS WAY STE 300Middleburg, FL 32068-8431

Mailing Address1658 St Vincents Way Ste 300Middleburg, FL 32068-8431 · (904) 276-5100 · Fax (904) 276-5393

Phone(904) 276-5100

Fax(904) 276-5393

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 22, 2015

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1245609189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9109042

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9109042 (FL)

1658 ST VINCENTS WAY STE 300, Middleburg, FL 32068

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Secondary Practice Location 1

Location 11 Shircliff WayJacksonville, FL 32204-4748 · Phone (904) 308-7300

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

Mrs. Chandler Larsen Yeazitzis 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 ID3779884853

PECOS Enrollment IDI20151214002727

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 32068 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 7

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

DR. OMER RASHEED ZUBERI M.D.

Internal Medicine (Interventional Cardiology)