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ELISABETH JACQUELINE GUILLEMIN
NPI 1841734779
Physician Assistant - Medical in Saint Augustine, FL

Active since December 12, 2016PECOS Enrolled
6573 A1A S, SAINT AUGUSTINE, FL 32080(904) 342-7363 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elisabeth Jacqueline Guillemin NPPES

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

ELISABETH JACQUELINE GUILLEMIN (NPI 1841734779) is an individual medical provider in Saint Augustine, Florida, licensed in Florida (PAT-9109926) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841734779
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELISABETH JACQUELINE GUILLEMIN
Location Address6573 A1A SSaint Augustine, FL 32080-7504
Mailing Address33 Grove Ave, Apt ASaint Augustine, FL 32084-3251 · (575) 770-4828
Phone(904) 342-7363
Sole ProprietorNo
Enumeration DateDecember 12, 2016
✔ NPI 1841734779 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 · PAT-9109926
6573 A1A S, Saint Augustine, FL 32080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisabeth Jacqueline Guillemin 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 3

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

MARGRET THORHALLSDOTTIR M.D.
Family Medicine
6573 A1A S
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 342-7363
ALLYSON JO SCHUMACHER ARNP
Family Medicine
6573 A1A S
ST AUGUSTINE, FL 32080
St. Johns County (904) 342-7363
DR. ADRIAN LONG M.D.
Family Medicine
6573 A1A S
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 342-7363

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 Elisabeth Guillemin's NPI number?

The NPI number for Elisabeth Guillemin is 1841734779. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Elisabeth Guillemin located?

Elisabeth Guillemin practices at 6573 A1a S, Saint Augustine, FL 32080. The listed phone number is (904) 342-7363.

What is Elisabeth Guillemin's specialty?

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

Is Elisabeth Guillemin enrolled in Medicare?

Yes. Elisabeth Guillemin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisabeth Guillemin was last updated on December 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.