FRANKIE ESPINOSA III RPA-C
NPI 1255772745
Physician Assistant in Fleetwood, PA

Q: What is Frankie Espinosa's NPI number?

The NPI number for Frankie Espinosa is 1255772745. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Q: What is Frankie Espinosa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Frankie Espinosa was last updated on December 19, 2022. 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.

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment

14351 KUTZTOWN RD, FLEETWOOD, PA 19522(610) 944-8800 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Mar 4, 2020, Nov 13, 2017 and 1 more (4 updates tracked since 2016).

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About Frankie Espinosa Iii Rpa-c NPPES

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

FRANKIE ESPINOSA III RPA-C (NPI 1255772745) is an individual physician assistant in Fleetwood, Pennsylvania, licensed in Pennsylvania (MA058216) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255772745

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameFRANKIE ESPINOSA IIICredential: RPA-C

Location Address14351 KUTZTOWN RDFleetwood, PA 19522-9273

Mailing Address2100 Mack BlvdAllentown, PA 18103-5622 · (484) 743-0595 · Fax (215) 933-5260

Phone(610) 944-8800

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 11, 2013

Last NPPES UpdateDecember 19, 20224 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1255772745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in PA · MA058216✔ Licensed in NY · 016562

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 016562 (NY)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 016562 (NY)

14351 KUTZTOWN RD, Fleetwood, PA 19522

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Secondary Practice Locations 2

Location 12200 Hamilton St Ste 111Allentown, PA 18104-6329 · Phone (610) 821-8321

Location 2333 Cottman AvePhiladelphia, PA 19111-2434 · Phone (215) 728-6900 · Fax (215) 728-2773

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company 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

Frankie Espinosa Iii Rpa-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 ID3072893023

PECOS Enrollment IDI20240227002116, I20260428001733

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

137 services128 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

43 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Sanford Hospital Webster - Cah

Critical Access Hospitals · Webster, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431311

Location1401 W First St Post Office Box 489Webster, SD 57274 · Day County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19522 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 16

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

KRISTIE CONRAD PA

Physician Assistant (Medical)