Active NPI
Valerie Lynn Poirier, PA-C
- Medical Physician Assistant
- Orlando, FL
National Provider Identifier
1003113424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9105909
- Practice address
- 1512 W Colonial Dr
Orlando, FL 32804-7101 - Phone
- (407) 423-1768
- NPI assigned
- Feb 21, 2011
- Last updated
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1768 | ME | |
| Medical Physician Assistant | 363AM0700X | 53608 | CA | |
| Medical Physician Assistant | 363AM0700X | PA9105909 | FL | Primary |
Addresses
Primary practice location
1512 W Colonial Dr
Orlando, FL 32804-7101
Mailing address
1512 W Colonial Dr
Orlando, FL 32804-7101
Phone (407) 423-1768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53608 | CA | MD | Medical Physician Assistant |
| PA1768 | ME | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nautilus Health Care Group LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFHFCD/Endpoint/DFHFCD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Melbourne, FL
- NPI 1912013558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1003113424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 W COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328047101",
"telephone_number": "407-423-1768",
"fax_number": "407-423-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 W COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328047101",
"telephone_number": "407-423-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POIRIER",
"first_name": "VALERIE",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2022-01-14",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ME",
"license": "PA1768",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "53608",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.