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REGINA D PRUITT PA-C
NPI 1295940914
Physician Assistant - Medical in Bradenton, FL

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
5717 21ST AVE W, BRADENTON, FL 34209(941) 792-8383(941) 792-8484 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regina D Pruitt Pa-c NPPES

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

REGINA D PRUITT PA-C (NPI 1295940914) is an individual medical provider in Bradenton, Florida, licensed in Florida (PA9113304) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1295940914
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameREGINA D PRUITTCredential: PA-C
Location Address5717 21ST AVE WBradenton, FL 34209
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306
Phone(941) 792-8383
Fax(941) 792-8484
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1295940914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9113304
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.493 (AL)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-493 (AL)
5717 21ST AVE W, Bradenton, FL 34209
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11215 S East Ave Ste 301Sarasota, FL 34239-2342 · Phone (941) 827-0701 · Fax (941) 365-7057
Location 25601 21st Ave W Ste DBradenton, FL 34209-5642 · Phone (941) 792-8383 · Fax (941) 792-8484

Other Identifiers 1

OtherPA575FL · Hf Ma

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

Regina D Pruitt 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 ID1355433657
PECOS Enrollment IDI20201229002366
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 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.
693 services513 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
364 services270 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.
54 services54 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers28 claims28 services$33.15 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers12 claims71 services$17.01 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers11 claims62 services$12.15 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers25 claims25 services$45.28 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers26 claims26 services$14.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
11 suppliers37 claims188 services$1.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

REBECCA LYNN MARTIN ARNP
Nurse Practitioner (Family)
5717 21ST AVE W
BRADENTON, FL 34209
Manatee County (941) 792-8383
CANDACE MCKNIGHT JOHNSON CRNP F MSN
Nurse Practitioner (Family)
5717 21ST AVE W
BRADENTON, FL 34209
Manatee County (941) 792-8383
JEREMY D. MCCONNELL, MD, PA
Family Medicine (Sleep Medicine)
5717 21ST AVE W
BRADENTON, FL 34209
Manatee County (941) 792-8383

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 Regina Pruitt's NPI number?

The NPI number for Regina Pruitt is 1295940914. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Regina Pruitt located?

Regina Pruitt practices at 5717 21st Ave W, Bradenton, FL 34209. The listed phone number is (941) 792-8383.

What is Regina Pruitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Regina Pruitt enrolled in Medicare?

Yes. Regina Pruitt 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 Regina Pruitt was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.