Individual provider Active NPI

Neko Gude, PA

  • Physician Assistant
  • Port Richey, FL
National Provider Identifier
1003420308
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112768 Issued in FL
Practice address
11522 US Highway 19 BLDG B
Port Richey, FL 34668-1431
Phone
(727) 868-2151
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112768 FL Primary

Addresses

Primary practice location

11522 US Highway 19 BLDG B
Port Richey, FL 34668-1431

Mailing address

11528 US Highway 19
Port Richey, FL 34668-1442
Phone (727) 868-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022002459 FL Practitioner - Physician Assistant 5698195105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMS DO PAGroup PAC ID 0143207530, 22 clinicians

Practice addresses (Care Compare)

11034 Spring Hill Dr
Spring Hill, FL 34608-5048
Phone (352) 688-6228

11528 US Hwy 19
Port Richey, FL 34668-1442
Phone (727) 868-2151

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
71.65
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAD/Endpoint/ACFCAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1003420308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11528 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681442",
            "telephone_number": "727-868-2151",
            "fax_number": "727-869-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11522 US HIGHWAY 19 BLDG B",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681431",
            "telephone_number": "727-868-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDE",
        "first_name": "NEKO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.