PHILLIP MAXWELL P.A
NPI 1891120127
Physician Assistant - Medical in Orlando, FL

Q: What is Phillip Maxwell's NPI number?

The NPI number for Phillip Maxwell is 1891120127. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Q: What is Phillip Maxwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phillip Maxwell was last updated on May 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1707 N MILLS AVE, ORLANDO, FL 32803(407) 647-3960(407) 413-5775 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2024, Aug 10, 2022 (2 updates tracked since 2022).

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About Phillip Maxwell P.a NPPES

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

PHILLIP MAXWELL P.A (NPI 1891120127) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9109570) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891120127

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NamePHILLIP MAXWELLCredential: P.A

Location Address1707 N MILLS AVEOrlando, FL 32803-1851

Mailing Address1707 N Mills AveOrlando, FL 32803-1851 · (407) 647-3960 · Fax (407) 413-5775

Phone(407) 647-3960

Fax(407) 413-5775

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 5, 2013

Last NPPES UpdateMay 8, 20242 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1891120127 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 · PA9109570

1707 N MILLS AVE, Orlando, FL 32803

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Other Identifiers 1

Medicaid114953900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Phillip Maxwell P.a 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 ID8426349341

PECOS Enrollment IDI20161026001224

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.42

Promoting Interoperability

100

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 12

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

DR. ALFONSO GONZALEZ-RODRIGUEZ MD

Internal Medicine