CAITLIN BERRAZUETA PA-C
NPI 1538790308
Physician Assistant - Medical in Venice, FL

Q: What is Caitlin Berrazueta's NPI number?

The NPI number for Caitlin Berrazueta is 1538790308. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Q: What is Caitlin Berrazueta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment

1287 US HIGHWAY 41 BYP S, VENICE, FL 34285(941) 202-0500(941) 202-0501 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2024, Aug 28, 2020, Aug 10, 2020 and 2 more (5 updates tracked since 2020).

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About Caitlin Berrazueta Pa-c NPPES

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

CAITLIN BERRAZUETA PA-C (NPI 1538790308) is an individual medical provider in Venice, Florida, licensed in Florida (PA9112957) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538790308

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCAITLIN BERRAZUETACredential: PA-C

Location Address1287 US HIGHWAY 41 BYP SVenice, FL 34285-5545

Mailing Address11958 Sw Garden PlTigard, OR 97223-8248 · (503) 684-8252

Phone(941) 202-0500

Fax(941) 202-0501

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 30, 2020

Last NPPES UpdateApril 21, 20255 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1538790308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9112957

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61678137 (WA)

1287 US HIGHWAY 41 BYP S, Venice, FL 34285

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Other Identifiers 3

Medicaid105681900FL

OtherL7382FL · Medicare

OtherBDACDFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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 and accepts Medicare assignment

Caitlin Berrazueta Pa-c 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 ID7911334453

PECOS Enrollment IDI20250501000236

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

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500050

Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County

Emergency services Birthing friendly

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.

CARINA JOANNE ORREN FNP-C

Nurse Practitioner (Family)