KATRINA POTITHAVORANANT
NPI 1710348479
Physician Assistant - Medical in Saint Petersburg, FL

Q: What is Katrina Potithavoranant's NPI number?

The NPI number for Katrina Potithavoranant is 1710348479. It was assigned to this individual provider in the NPPES registry on March 9, 2016.

Q: What is Katrina Potithavoranant's specialty?

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

Active since March 09, 2016PECOS EnrolledAccepts Medicare Assignment

620 10TH ST N STE 1E, SAINT PETERSBURG, FL 33705(727) 824-3120 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Apr 13, 2023, Jul 7, 2022 and 3 more (6 updates tracked since 2016).

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About Katrina Potithavoranant NPPES

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

KATRINA POTITHAVORANANT (NPI 1710348479) is an individual medical provider in Saint Petersburg, Florida, licensed in Florida (PA9112237) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710348479

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKATRINA POTITHAVORANANT

Location Address620 10TH ST N STE 1ESaint Petersburg, FL 33705-1407

Mailing Address620 10th St N Ste 1eSaint Petersburg, FL 33705-1407 · (727) 824-3120

Phone(727) 824-3120

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 9, 2016

Last NPPES UpdateAugust 17, 20236 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1710348479 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 · PA9112237

620 10TH ST N STE 1E, Saint Petersburg, FL 33705

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Other Identifiers 1

Medicaid104661300FL

Accepted Insurance

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

Katrina Potithavoranant 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 ID1052610425

PECOS Enrollment IDI20200116002286

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 9

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 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.

610 services334 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

150 services150 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

32 services30 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

28 services26 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.

24 services22 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

21 services19 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100067

Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 7

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

BRYAN GAYNE D.O.

Family Medicine