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AYESHA FALAK KIETZMAN PA
NPI 1336703461
Physician Assistant in Hudson, FL

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment
13944 LAKESHORE BLVD STE C, HUDSON, FL 34667(727) 605-0252 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 9, 2026, Jun 14, 2019, Apr 24, 2019 (3 updates tracked since 2019).

About Ayesha Falak Kietzman Pa NPPES

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

AYESHA FALAK KIETZMAN PA (NPI 1336703461) is an individual physician assistant in Hudson, Florida, licensed in Florida (PA9112195) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336703461
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAYESHA FALAK KIETZMANCredential: PA
Location Address13944 LAKESHORE BLVD STE CHudson, FL 34667-1431
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-7365 · Fax (813) 449-8618
Phone(727) 605-0252
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 24, 2019
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1336703461 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 · PA9112195
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.
13944 LAKESHORE BLVD STE C, Hudson, FL 34667
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Other Names 1

Former Name (1)Ayesha Falak Hussain

Secondary Practice Locations 2

Location 114806 Morning DrLutz, FL 33559-3270 · Phone (850) 559-4257
Location 212902 Usf Magnolia DrTampa, FL 33612-9416 · Phone (813) 745-7365 · Fax (813) 449-8618

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare, Wellpoint.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

Ayesha Falak Kietzman Pa 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 ID6406180595
PECOS Enrollment IDI20190624001877
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 34667 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.

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 Ayesha Kietzman's NPI number?

The NPI number for Ayesha Kietzman is 1336703461. It was assigned to this individual provider in the NPPES registry on April 24, 2019. The provider is also known as Ayesha Falak Hussain.

Where is Ayesha Kietzman located?

Ayesha Kietzman practices at 13944 Lakeshore Blvd Ste C, Hudson, FL 34667. The listed phone number is (727) 605-0252.

What is Ayesha Kietzman's specialty?

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

Is Ayesha Kietzman enrolled in Medicare?

Yes. Ayesha Kietzman 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.

What insurance does Ayesha Kietzman accept?

Health plans from Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Ayesha Kietzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ayesha Kietzman was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.