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KEISHA MARIE POLEON PA-C
NPI 1699478123
Physician Assistant - Medical in Tampa, FL

Active since March 23, 2023PECOS Enrolled
2919 W SWANN AVE STE 106, TAMPA, FL 33609(813) 930-2829(813) 930-9522 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2023, Mar 23, 2023 (2 updates tracked since 2023).

About Keisha Marie Poleon Pa-c NPPES

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

KEISHA MARIE POLEON PA-C (NPI 1699478123) is an individual medical provider in Tampa, Florida, licensed in Florida (PA9117189) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699478123
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKEISHA MARIE POLEONCredential: PA-C
Location Address2919 W SWANN AVE STE 106Tampa, FL 33609-4049
Mailing Address8500 Hunters Village Rd Unit 361Tampa, FL 33647-3809 · (256) 426-8210
Phone(813) 930-2829
Fax(813) 930-9522
Sole ProprietorNo
Enumeration DateMarch 23, 2023
Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1699478123 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 · PA9117189
2919 W SWANN AVE STE 106, Tampa, FL 33609
Open in Google Maps ↗

Other Identifiers 3

OtherR6341FL · Medicare Ptan
Medicaid118654700FL
OtherWN769FL · Fl Blue

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Keisha Marie Poleon 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Other Providers at the Same Location NPPES 2

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

DR. JOHN I DELGADO M.D.
Internal Medicine (Gastroenterology)
2919 W SWANN AVE STE 106
TAMPA, FL 33609
Hillsborough County (813) 930-2829
MS. CHARITY J GORDON APRN
Nurse Practitioner (Acute Care)
2919 W SWANN AVE STE 106
TAMPA, FL 33609
Hillsborough County (813) 930-2829

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 Keisha Poleon's NPI number?

The NPI number for Keisha Poleon is 1699478123. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Keisha Poleon located?

Keisha Poleon practices at 2919 W Swann Ave Ste 106, Tampa, FL 33609. The listed phone number is (813) 930-2829.

What is Keisha Poleon's specialty?

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

Is Keisha Poleon enrolled in Medicare?

Yes. Keisha Poleon is registered in the Medicare PECOS enrollment system.

What insurance does Keisha Poleon accept?

Health plans from AvMed list Keisha Poleon 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 Keisha Poleon was last updated on March 27, 2024. 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.