JUANITA PERDOMO PA-C
NPI 1639887193
Physician Assistant in Raleigh, NC

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment
2406 BLUE RIDGE RD STE 205, RALEIGH, NC 27607(919) 782-4884 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juanita Perdomo Pa-c NPPES

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

JUANITA PERDOMO PA-C (NPI 1639887193) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-12669) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2022).

NPPES Registry Identity

NPI1639887193
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJUANITA PERDOMOCredential: PA-C
Location Address2406 BLUE RIDGE RD STE 205Raleigh, NC 27607-6666
Mailing Address1001 Manchester DrRaleigh, NC 27609-5152 · (704) 839-9336
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2022
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 13, 2022
NPI 1639887193 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 NC · 0010-12669
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.

2406 BLUE RIDGE RD STE 205, Raleigh, NC 27607

Accepted 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

Juanita Perdomo 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 ID3870958267
PECOS Enrollment IDI20230509001089
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 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 Juanita Perdomo's NPI number?

The NPI number for Juanita Perdomo is 1639887193. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Juanita Perdomo located?

Juanita Perdomo practices at 2406 Blue Ridge Rd Ste 205, Raleigh, NC 27607. The listed phone number is (919) 782-4884.

What is Juanita Perdomo's specialty?

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

Is Juanita Perdomo enrolled in Medicare?

Yes. Juanita Perdomo 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 Juanita Perdomo accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Juanita Perdomo 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 Juanita Perdomo was last updated on November 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.