Katterine Chauca, PA

Key facts

NPI

1063286268

Entity type

Individual (NPI type 1)

Primary specialty

Surgical Physician Assistant 363AS0400X

License

PA9118017 (FL)

Practice address

7050 Gall Blvd
Zephyrhills, FL 33541-1347

Phone

(813) 779-1209

Fax

(813) 779-1216

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

Yes

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.

• Florida Hospital Physician Group Inc Family Medicine Physician · Tampa, FL · NPI 1174955256
  Medicare reassignment Care Compare group FL
• Florida Hospital Zephyrhills Inc Multi-Specialty Clinic/Center · Zephyrhills, FL · NPI 1639325046
  Medicare reassignment Care Compare group FL
• Florida Hospital Zephyrhills Inc General Acute Care Hospital · Zephyrhills, FL · NPI 1346354677
  Care Compare group NPD

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Hospital Dade City Inc General Acute Care Hospital · Dade City, FL · NPI 1215444054
  Care Compare affiliation Hospital
• Florida Hospital Zephyrhills Inc General Acute Care Hospital · Zephyrhills, FL · NPI 1346354677
  Care Compare affiliation Hospital
• Pasco-Pinellas Hillsborough Community Health System Inc General Acute Care Hospital · Wesley Chapel, FL · NPI 1073893020
  Care Compare affiliation Hospital
• University Community Hospital, Inc General Acute Care Hospital · Tampa, FL · NPI 1053321919
  Care Compare affiliation Hospital
• University Community Hospital, Inc Clinical Medical Laboratory · Tampa, FL · NPI 1134766694
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Physician Group Inc (953 clinicians)
Florida Hospital Zephyrhills Inc (14 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Zephyrhills Hospital · Zephyrhills, FL · CCN 100046
• Adventhealth Wesley Chapel Hospital · Wesley Chapel, FL · CCN 100319
• Adventhealth Tampa Hospital · Tampa, FL · CCN 100173
• Adventhealth Dade City Hospital · Dade City, FL · CCN 100211

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles (1 of 3)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: kchauca684763@adventhealth.direct-ci.com

Specialties & licenses

Addresses

Other names

• Katterine Hamblen Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2023.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1063286268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-779-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-779-1209",
            "fax_number": "813-779-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 Healing Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335435497",
            "country_code": "US",
            "telephone_number": "813-779-1209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30115 County Road 52 Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "FL",
            "postal_code": "335768243",
            "country_code": "US",
            "telephone_number": "813-467-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUCA",
        "first_name": "KATTERINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118017",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9118017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATTERINE",
            "last_name": "HAMBLEN",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zephyrhills, FL

• Kyle Jonathon Chacon, APRN
• Paul L Chakola, MD
• Jessica L Chalmers, APRN
• Tawfik Chami, MD
• Julia Diamond Chard
• Ketul Chauhan, M.D.
• Darlene Lowery Chauncey
• Laura Chauncey, RRT
• Pavitar Singh Cheema, MD
• Nata Cisse

All providers in Zephyrhills, FL · Surgical Physician Assistant in Florida