TRACI CELESTE DIPHILLIPPO PA-C
NPI 1841543063
Physician Assistant in Hollywood, FL

Active since October 25, 2012PECOS EnrolledAccepts Medicare Assignment
4060 SHERIDAN ST STE C, HOLLYWOOD, FL 33021(954) 987-7512(954) 987-3977 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2025, Jun 10, 2024 (2 updates tracked since 2024).

About Traci Celeste Diphillippo Pa-c NPPES

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

TRACI CELESTE DIPHILLIPPO PA-C (NPI 1841543063) is an individual physician assistant in Hollywood, Florida, licensed in Florida (PA9107681) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1841543063
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTRACI CELESTE DIPHILLIPPOCredential: PA-C
Location Address4060 SHERIDAN ST STE CHollywood, FL 33021-3559
Mailing Address2235 Venetian Court, Suite 1Naples, FL 34109-8728 · (239) 596-9337 · Fax (239) 596-9466
Fax(954) 987-3977
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 25, 2012
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1841543063 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 FL · PA9107681
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.

4060 SHERIDAN ST STE C, Hollywood, FL 33021

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

Traci Celeste Diphillippo Pa-c 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 ID4587968870
PECOS Enrollment IDI20160208000099
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 3

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

Physician Assistant
4060 SHERIDAN ST STE C
HOLLYWOOD, FL 33021
Nurse Practitioner (Family)
4060 SHERIDAN ST STE C
HOLLYWOOD, FL 33021
Dermatology
4060 SHERIDAN ST STE C
HOLLYWOOD, FL 33021

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 Traci Diphillippo's NPI number?

The NPI number for Traci Diphillippo is 1841543063. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Traci Diphillippo located?

Traci Diphillippo practices at 4060 Sheridan St Ste C, Hollywood, FL 33021. The listed phone number is (954) 987-7512.

What is Traci Diphillippo's specialty?

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

Is Traci Diphillippo enrolled in Medicare?

Yes. Traci Diphillippo 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.

When was this NPI record last updated?

The NPPES record for Traci Diphillippo was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.