Individual provider Active NPI

Anna Karina Adamczyk, PA-C

  • Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1023509874
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008680 Issued in MI
Practice address
4623 Forest Hill Blvd Ste 103
West Palm Beach, FL 33415-9120
Phone
(561) 969-7900
Fax
(561) 969-7919
NPI assigned
May 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 5601008680 MI Primary

Addresses

Primary practice location

4623 Forest Hill Blvd Ste 103
West Palm Beach, FL 33415-9120

Mailing address

4623 Forest Hill Blvd Ste 101
West Palm Beach, FL 33415-9120
Phone (561) 966-7194

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
I20210119001522 FL Practitioner - Physician Assistant 9739437302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2700 W Cypress Creek Rd
Suite C100
Fort Lauderdale, FL 33309-1741
Phone (954) 974-3111

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 967-8888

8200 Okeechobee Blvd
West Palm Beach, FL 33411-2099
Phone (561) 964-1111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Mar 1, 2020 Accepting new patients
Central Palm Beach Physicians & Urgent Care, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Pro-Health Medical FP Past Accepting new patients

Locations

2700 W Cypress Creek Rd
Ste C100
Ft Lauderdale, FL 33309
Phone (954) 974-3111

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194

Organizations & group practices 4

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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1023509874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159120",
            "telephone_number": "561-966-7194",
            "fax_number": "561-967-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159120",
            "telephone_number": "561-969-7900",
            "fax_number": "561-969-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMCZYK",
        "first_name": "ANNA",
        "middle_name": "KARINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.