MR. MICHAEL R MEDVED PA
NPI 1679690366
Physician Assistant - Medical in Saint Augustine, FL

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
3560 A1A S, SAINT AUGUSTINE, FL 32080(904) 584-2273(904) 823-9394 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Aug 11, 2022, Jul 13, 2022 (3 updates tracked since 2022).

About Mr. Michael R Medved Pa NPPES

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

MR. MICHAEL R MEDVED PA (NPI 1679690366) is an individual medical provider in Saint Augustine, Florida, licensed in Florida (PA3163) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1679690366
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL R MEDVEDCredential: PA
Location Address3560 A1A SSaint Augustine, FL 32080-9731
Mailing Address3560 A1a SSaint Augustine, FL 32080-9731 · (904) 584-2273 · Fax (904) 429-9783
Fax(904) 823-9394
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 26, 2007
Last NPPES UpdateDecember 13, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
NPI 1679690366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA3163
3560 A1A S, Saint Augustine, FL 32080

Other Identifiers 1

OtherPA3163FL · Medical License

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

Mr. Michael R Medved Pa 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 ID3072583962
PECOS Enrollment IDI20040728000984
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.

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$35.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
3560 A1A S
SAINT AUGUSTINE, FL 32080
Family Medicine
3560 A1A S
ST AUGUSTINE, FL 32080
Family Medicine
3560 A1A S
SAINT AUGUSTINE, FL 32080
Family Medicine
3560 A1A S
SAINT AUGUSTINE, FL 32080

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 Michael Medved's NPI number?

The NPI number for Michael Medved is 1679690366. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Michael Medved located?

Michael Medved practices at 3560 A1a S, Saint Augustine, FL 32080. The listed phone number is (904) 584-2273.

What is Michael Medved's specialty?

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

Is Michael Medved enrolled in Medicare?

Yes. Michael Medved 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.

Is Michael Medved affiliated with any hospitals?

According to CMS data, Michael Medved is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Michael Medved was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.