Veronica Trujillo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106715 Issued in FL

Practice address

1417 Lakeland Hills Blvd Ste 201
Lakeland, FL 33805-3208

Phone

(813) 701-5804

Fax

(813) 291-7615

NPI assigned

Jul 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Pain and Spine LLCGroup PAC ID 8123447869, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Excel Pain and Spine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sun City Center, FL
  • NPI 1063028587
  Medicare reassignment Care Compare group
• Excel Pain and Spine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sarasota, FL
  • NPI 1023811619
  NPD

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1033406749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 KEARNS RD",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338604505",
            "telephone_number": "863-224-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 LAKELAND HILLS BLVD STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053208",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "VERONICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "5980",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trucare Home Health Solutions LLC
• True Disciples of Jesus Christ Out Reach Ministry Inc.
• Susan Truett, LMHC
• Mildred G Truitt
• Nielys Trujillo Varona
• Colten Tsai, DO
• Joshua Tsai, MD, MBA
• Vivian Tu
• Hunter Tuck
• John O Tucker, D.C.

• Physician Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.