Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ODALYS VIEDA
NPI 1750005575
Physician Assistant in Scranton, PA

Q: What is Odalys Vieda's NPI number?

The NPI number for Odalys Vieda is 1750005575. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Q: What is Odalys Vieda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Odalys Vieda was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.

Active since September 27, 2022PECOS EnrolledAccepts Medicare Assignment

1800 MULBERRY ST, SCRANTON, PA 18510(570) 703-8231(570) 703-8250 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Jun 11, 2025, May 29, 2025 and 5 more (8 updates tracked since 2022).

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About Odalys Vieda NPPES

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

ODALYS VIEDA (NPI 1750005575) is an individual physician assistant in Scranton, Pennsylvania, licensed in Pennsylvania (MA067794) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750005575

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameODALYS VIEDA

Location Address1800 MULBERRY STScranton, PA 18510-2369

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 703-8231 · Fax (570) 703-8250

Phone(570) 703-8231

Fax(570) 703-8250

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 27, 2022

Last NPPES UpdateJuly 10, 20268 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1750005575 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 PA · MA067794

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.

1800 MULBERRY ST, Scranton, PA 18510

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Other Identifiers 2

Medicaid118713600FL

Other8A0WXFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Odalys Vieda 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 ID4688042773

PECOS Enrollment IDI20221121002852

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.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100128

Location1 Tampa General CirTampa, FL 33606 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18510 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

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