1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Physician Assistant
  6. NPI Profile

NICHOLAS ANDREW MUDRA PHYSICIAN ASSISTANT
NPI 1336892892
Physician Assistant in Gainesville, FL

Active since February 03, 2022PECOS Enrolled
1601 SW ARCHER RD, GAINESVILLE, FL 32608(800) 324-8387 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Andrew Mudra Physician Assistant NPPES

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

NICHOLAS ANDREW MUDRA PHYSICIAN ASSISTANT (NPI 1336892892) is an individual physician assistant in Gainesville, Florida, licensed in Florida (9115550) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336892892
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS ANDREW MUDRACredential: PHYSICIAN ASSISTANT
Location Address1601 SW ARCHER RDGainesville, FL 32608-1135
Mailing Address621 Sw 77th TerGainesville, FL 32607-1566 · (352) 316-4127
Phone(800) 324-8387
Sole ProprietorNo
Enumeration DateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1336892892 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 · 9115550
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.
1601 SW ARCHER RD, Gainesville, FL 32608
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Andrew Mudra Physician Assistant 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 32608 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 20

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

MS. CATHY JEANNE PRICE LCSW
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
JAKIRA L HARRIS LCSW
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
DR. SHEETAL PATEL MD
Internal Medicine (Gastroenterology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (800) 324-8387
THOMAS W BRADY LCSW
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 293-6612
JUANA LOPEZ
Specialist/Technologist, Pathology (Histology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 548-5207
DR. JOHN ROBERT EGBERTS PHARMD
Pharmacist (Pharmacotherapy)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
STEVEN SCOTT RILEY D.M.D.
Dentist (General Practice)
1601 SW ARCHER RD, DENTAL SERVICE (160), V.A. MEDICAL CENTER
GAINESVILLE, FL 32608
Alachua County (352) 376-1611
DR. JUDITH BARLOW DEMONTMOLLIN PH.D.
Psychologist (Clinical)
1601 SW ARCHER RD, MALCOM RANDALL VAMC ;NF/SG VETERANS HEALTH SYSTEM
GAINESVILLE, FL 32608
Alachua County (352) 376-1711

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 Nicholas Mudra's NPI number?

The NPI number for Nicholas Mudra is 1336892892. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Where is Nicholas Mudra located?

Nicholas Mudra practices at 1601 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (800) 324-8387.

What is Nicholas Mudra's specialty?

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

Is Nicholas Mudra enrolled in Medicare?

Yes. Nicholas Mudra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Mudra was last updated on February 3, 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.