MICHAEL EDMISTON PHYSICIAN ASSISTANT
NPI 1790324549
Physician Assistant - Medical in Orlando, FL

Active since December 26, 2019PECOS Enrolled
1222 S ORANGE AVE, ORLANDO, FL 32806(321) 841-6444(407) 445-3515 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2020, Dec 26, 2019 (2 updates tracked since 2019).

About Michael Edmiston Physician Assistant NPPES

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

MICHAEL EDMISTON PHYSICIAN ASSISTANT (NPI 1790324549) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9113231) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790324549
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL EDMISTONCredential: PHYSICIAN ASSISTANT
Location Address1222 S ORANGE AVEOrlando, FL 32806-1215
Mailing Address1222 S Orange AveOrlando, FL 32806-1215 · (321) 841-6444 · Fax (407) 445-3515
Fax(407) 445-3515
Sole ProprietorNo
Enumeration DateDecember 26, 2019
Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
NPI 1790324549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9113231
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9113231 (FL)
1222 S ORANGE AVE, Orlando, FL 32806

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 (PECOS)

Michael Edmiston Physician Assistant 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.

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.

Orthopaedic Surgery (Hand Surgery)
1222 S ORANGE AVE, 5TH FLOOR
ORLANDO, FL 32806
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1222 S ORANGE AVE
ORLANDO, FL 32806
Internal Medicine (Interventional Cardiology)
1222 S ORANGE AVE
ORLANDO, FL 32806
Internal Medicine (Cardiovascular Disease)
1222 S ORANGE AVE
ORLANDO, FL 32806
Physician Assistant (Medical)
1222 S ORANGE AVE
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
1222 S ORANGE AVE
ORLANDO, FL 32806
Nurse Practitioner (Pediatrics)
1222 S ORANGE AVE
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
1222 S ORANGE AVE
ORLANDO, FL 32806

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 Edmiston's NPI number?

The NPI number for Michael Edmiston is 1790324549. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Where is Michael Edmiston located?

Michael Edmiston practices at 1222 S Orange Ave, Orlando, FL 32806. The listed phone number is (321) 841-6444.

What is Michael Edmiston's specialty?

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

Is Michael Edmiston enrolled in Medicare?

Yes. Michael Edmiston is registered in the Medicare PECOS enrollment system.

What insurance does Michael Edmiston accept?

Health plans from AmeriHealth Caritas Next and AvMed list Michael Edmiston 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 Michael Edmiston was last updated on February 13, 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.