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MS. ANNA IV PA
NPI 1942535042
Physician Assistant in St Augustine, FL

Active since October 07, 2009PECOS Enrolled
100 ARRICOLA AVE, ST AUGUSTINE, FL 32080(904) 825-4368 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Anna Iv Pa NPPES

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

MS. ANNA IV PA (NPI 1942535042) is an individual physician assistant in St Augustine, Florida, licensed in Florida (PA9104907) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942535042
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. ANNA IVCredential: PA
Location Address100 ARRICOLA AVESt Augustine, FL 32080-4515
Mailing Address100 Arricola AveSt Augustine, FL 32080-4515 · (904) 825-4368
Phone(904) 825-4368
Sole ProprietorNo
Enumeration DateOctober 7, 2009
Last NPPES UpdateMay 3, 2010
✔ NPI 1942535042 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 · PA9104907
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.
100 ARRICOLA AVE, St 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)

Ms. Anna Iv Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 10

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

MAINLAND PHYSICIANS GROUP LLC
Family Medicine (Geriatric Medicine)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
WILLIAM D BERMEO PAC
Family Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
ODELAISYS ENRIQUEZ MD
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
V.I.P MD CARE LLC
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (954) 586-8058
MR. EUGENE KINNALY P.A.
Physician Assistant (Medical)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4701
ISLAND DOCTORS INTRASTATE LLC
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
ECHO MANAGED CARE, LLC
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
SARA MARIE OCAMPO DENSLOW APRN
Nurse Practitioner (Family)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368

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 Anna Iv's NPI number?

The NPI number for Anna Iv is 1942535042. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Anna Iv located?

Anna Iv practices at 100 Arricola Ave, St Augustine, FL 32080. The listed phone number is (904) 825-4368.

What is Anna Iv's specialty?

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

Is Anna Iv enrolled in Medicare?

Yes. Anna Iv is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Iv was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.