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MARYGRACE POLSINELLI
NPI 1316820715
Physician Assistant in Daytona Beach, FL

Active since July 31, 2025PECOS EnrolledAccepts Medicare Assignment
305 MEMORIAL MEDICAL PKWY STE 401, DAYTONA BEACH, FL 32117(386) 231-3540(386) 231-3544 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marygrace Polsinelli NPPES

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

MARYGRACE POLSINELLI (NPI 1316820715) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (PA9120681) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1316820715
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARYGRACE POLSINELLI
Location Address305 MEMORIAL MEDICAL PKWY STE 401Daytona Beach, FL 32117-5169
Mailing Address770 W Granada Blvd Ste 101Ormond Beach, FL 32174-5179 · (386) 231-4519 · Fax (386) 368-8927
Phone(386) 231-3540
Fax(386) 231-3544
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 31, 2025
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1316820715 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 · PA9120681
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.
305 MEMORIAL MEDICAL PKWY STE 401, Daytona Beach, FL 32117
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Secondary Practice Location 1

Location 16675 Corporate Center PkwyJacksonville, FL 32216-8079 · Phone (904) 245-8910

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

Marygrace Polsinelli 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 ID9032615521
PECOS Enrollment IDI20251002004794
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 5

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia 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

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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 4

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

MARISSA STEWART PA-C
Physician Assistant
305 MEMORIAL MEDICAL PKWY STE 401
DAYTONA BEACH, FL 32117
Volusia County (386) 231-3540
REBECCA ANN PECK MD
Family Medicine
305 MEMORIAL MEDICAL PKWY STE 401
DAYTONA BEACH, FL 32117
Volusia County (386) 231-3612
KATHERINE UJVARY CRNP
Nurse Practitioner
305 MEMORIAL MEDICAL PKWY STE 401
DAYTONA BEACH, FL 32117
Volusia County (386) 231-3540
BENJAMIN J PECK MD
Family Medicine
305 MEMORIAL MEDICAL PKWY STE 401
DAYTONA BEACH, FL 32117
Volusia County (386) 231-3612

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 Marygrace Polsinelli's NPI number?

The NPI number for Marygrace Polsinelli is 1316820715. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Marygrace Polsinelli located?

Marygrace Polsinelli practices at 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117. The listed phone number is (386) 231-3540.

What is Marygrace Polsinelli's specialty?

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

Is Marygrace Polsinelli enrolled in Medicare?

Yes. Marygrace Polsinelli 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.

Is Marygrace Polsinelli affiliated with any hospitals?

According to CMS data, Marygrace Polsinelli is affiliated with Adventhealth New Smyrna Beach, Adventhealth Deland, Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Marygrace Polsinelli was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.