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IMAGES MEDICAL CLINIC PA
NPI 1386247310
Nurse Practitioner - Adult Health in Zephyrhills, FL

Active since November 20, 2020CLIA 10D2254922 · Waiver
38176 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540(813) 444-7311(813) 488-0011 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Dec 24, 2020, Nov 20, 2020 (3 updates tracked since 2020).

About Images Medical Clinic Pa NPPES

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

IMAGES MEDICAL CLINIC PA (NPI 1386247310) is a healthcare organization registered as an adult health in Zephyrhills, Florida and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Kasie Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1386247310
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameIMAGES MEDICAL CLINIC PA
Location Address38176 MEDICAL CENTER AVEZephyrhills, FL 33540-1380
Mailing AddressPo Box 7062Wesley Chapel, FL 33545-0100 · (813) 444-7311 · Fax (813) 488-0011
Phone(813) 444-7311
Fax(813) 488-0011
Organization SubpartNo
Authorized OfficialKasie RussellOwner · (813) 444-7311
Enumeration DateNovember 20, 2020
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 24, 2020
✔ NPI 1386247310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
38176 MEDICAL CENTER AVE, Zephyrhills, FL 33540
Open in Google Maps ↗

Other Identifiers 1

Other9268544FL · Aprn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Images Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Images Medical Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kasie Russell, ARNP
Nurse Practitioner
NPI 1366629123
38176 MEDICAL CENTER AVE
Zephyrhills, FL 33540
(813) 444-7311
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2254922

Images Medical Clinic PA · Zephyrhills, FL
Active · expires Mar 8, 2028
CLIA Number10D2254922
Laboratory TypePractitioner Other
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorKasie Russell
Laboratory Phone(813) 444-7311
Laboratory LocationImages Medical Clinic PA38176 Medical Center Ave, Zephyrhills, FL 33542
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Images Medical Clinic PA's NPI number?

The NPI number for Images Medical Clinic PA is 1386247310. It was assigned to this organization in the NPPES registry on November 20, 2020.

Where is Images Medical Clinic PA located?

Images Medical Clinic PA is located at 38176 Medical Center Ave, Zephyrhills, FL 33540. The listed phone number is (813) 444-7311.

What is Images Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Images Medical Clinic PA enrolled in Medicare?

Yes. Images Medical Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Images Medical Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Images Medical Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Images Medical Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2254922) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Images Medical Clinic PA was last updated on March 7, 2023. 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.