ANGELINA DAWN HOLT PA-C
NPI 1487921409
Physician Assistant in Jacksonville, FL

Q: What is Angelina Holt's NPI number?

The NPI number for Angelina Holt is 1487921409. It was assigned to this individual provider in the NPPES registry on November 18, 2011. The provider is also known as Angelina Dawn Mccormack Pa-C.

Q: What is Angelina Holt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelina Holt was last updated on November 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 18, 2011PECOS Enrolled

1824 KING ST STE 200, JACKSONVILLE, FL 32204(904) 384-3343(904) 400-6671 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2022, Oct 1, 2018, Jun 28, 2018 and 1 more (4 updates tracked since 2016).

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About Angelina Dawn Holt Pa-c NPPES

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

ANGELINA DAWN HOLT PA-C (NPI 1487921409) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9116010) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487921409

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGELINA DAWN HOLTCredential: PA-C

Location Address1824 KING ST STE 200Jacksonville, FL 32204-4736

Mailing Address1824 King St Ste 200Jacksonville, FL 32204-4736 · (904) 384-3343 · Fax (904) 400-6671

Phone(904) 384-3343

Fax(904) 400-6671

Sole ProprietorNo

Enumeration DateNovember 18, 2011

Last NPPES UpdateNovember 21, 20224 updates tracked since enumeration

NPPES CertifiedNovember 21, 2022

✔ NPI 1487921409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9116010✔ Licensed in GA · 006317✔ Licensed in VA · 0110005126✔ Licensed in TX · PA12050✔ Licensed in CT · 4254

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.

1824 KING ST STE 200, Jacksonville, FL 32204

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Other Names 1

Former Name (1)Angelina Dawn Mccormack Pa-c

Other Identifiers 5

OtherP00994128GA · Railroad Medicare

Medicaid003118596AGA

Other01477593Amerigroup

Medicaid1319PASC

Other643345GA · Wellcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelina Dawn Holt 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 32204 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%30 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 11

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

DR. CHADWICK WILLIAM STOUFFER MD

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