MRS. ELIZABETH OUTLAW MUCHMORE PA-C, MMS, MS, RD
NPI 1306228952
Physician Assistant in St Augustine, FL

Q: What is Elizabeth Muchmore's NPI number?

The NPI number for Elizabeth Muchmore is 1306228952. It was assigned to this individual provider in the NPPES registry on June 19, 2015. The provider is also known as Miss Elizabeth Paige Outlaw.

Q: What is Elizabeth Muchmore's specialty?

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

Active since June 19, 2015PECOS Enrolled

204 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086(904) 829-8300 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Sep 22, 2021 (2 updates tracked since 2021).

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About Mrs. Elizabeth Outlaw Muchmore Pa-c, Mms, Ms, Rd NPPES

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

MRS. ELIZABETH OUTLAW MUCHMORE PA-C, MMS, MS, RD (NPI 1306228952) is an individual physician assistant in St Augustine, Florida, licensed in Florida (PA9115135) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306228952

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. ELIZABETH OUTLAW MUCHMORECredential: PA-C, MMS, MS, RD

Location Address204 SOUTHPARK CIR ESt Augustine, FL 32086-5135

Mailing Address400 Health Park Blvd, Flagler HospitalSt. Augustine, FL 32086

Phone(904) 829-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 19, 2015

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1306228952 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 · PA9115135

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 ListedDietitian, RegisteredTaxonomy 133V00000X

204 SOUTHPARK CIR E, St Augustine, FL 32086

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Other Names 1

Former Name (1)Miss Elizabeth Paige Outlaw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Outlaw Muchmore Pa-c, Mms, Ms, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466976485

PECOS Enrollment IDI20251226001144

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.

Hospital Affiliations CMS Care Compare 2

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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 5

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

DR. ADEY A A HASAN MD

Internal Medicine (Nephrology)