Individual provider Active NPI

Christina Felicia Peterson, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1073033635
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110394 Issued in FL
Practice address
80 W Michigan St
Orlando, FL 32806-4453
Phone
(407) 648-4323
Fax
(407) 839-1493
NPI assigned
Jun 26, 2017
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 PA9110394 FL Primary

Addresses

Primary practice location

80 W Michigan St
Orlando, FL 32806-4453

Mailing address

80 W Michigan St
Orlando, FL 32806-4453
Phone (407) 648-4323

Other practice location 1

2080 Oakley Seaver Dr Ste 100
Clermont, FL 34711-1962
Phone (352) 241-7585

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
I20170817000161 FL Practitioner - Physician Assistant 5092087627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Specialists of Central Florida, Inc.Group PAC ID 9931099413, 5 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2080 Oakley Seaver Dr
Suite 100
Clermont, FL 34711-1962
Phone (407) 648-4323

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

80 W Michigan St
Orlando, FL 32806-4453
Phone (407) 648-4323

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 22, 2026 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Feb 22, 2026 Accepting new patients

Locations

2080 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 241-7585

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

80 W Michigan St
Orlando, FL 32806
Phone (407) 648-4323

Interoperability endpoints

  • Direct secure messaging: christina.cruz@arteryandvein.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1073033635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064453",
            "telephone_number": "407-648-4323",
            "fax_number": "407-839-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064453",
            "telephone_number": "407-648-4323",
            "fax_number": "407-839-1493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Oakley Seaver Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111962",
            "country_code": "US",
            "telephone_number": "352-241-7585",
            "fax_number": "352-241-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINA",
        "middle_name": "FELICIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.