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ALISSA KAY FUENTES PA-C
NPI 1306447420
Physician Assistant in Lake Worth, FL

Active since November 04, 2020PECOS Enrolled
6169 S JOG RD STE B3, LAKE WORTH, FL 33467(561) 433-9191 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2022, Aug 19, 2022, Jun 7, 2021 and 2 more (5 updates tracked since 2020).

About Alissa Kay Fuentes Pa-c NPPES

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

ALISSA KAY FUENTES PA-C (NPI 1306447420) is an individual physician assistant in Lake Worth, Florida, licensed in Florida (PA9112799) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306447420
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISSA KAY FUENTESCredential: PA-C
Location Address6169 S JOG RD STE B3Lake Worth, FL 33467-6514
Mailing Address8317 Bermuda Sound WayBoynton Beach, FL 33436-1729 · (786) 589-2361
Phone(561) 433-9191
Sole ProprietorNo
Enumeration DateNovember 4, 2020
Last NPPES UpdateAugust 22, 20225 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1306447420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9112799
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.
6169 S JOG RD STE B3, Lake Worth, FL 33467
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Other Names 1

Former Name (1)Alissa Kay Broderick Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Kay Fuentes Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33467 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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

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

VANESSA MOYA
Nurse Practitioner (Family)
6169 S JOG RD STE B3
GREENACRES, FL 33467
Palm Beach County (561) 433-9191

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 Alissa Fuentes's NPI number?

The NPI number for Alissa Fuentes is 1306447420. It was assigned to this individual provider in the NPPES registry on November 4, 2020. The provider is also known as Alissa Kay Broderick Pa-C.

Where is Alissa Fuentes located?

Alissa Fuentes practices at 6169 S Jog Rd Ste B3, Lake Worth, FL 33467. The listed phone number is (561) 433-9191.

What is Alissa Fuentes's specialty?

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

Is Alissa Fuentes enrolled in Medicare?

Yes. Alissa Fuentes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alissa Fuentes was last updated on August 22, 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.