Individual provider Active NPI

Nancy C Caterina, PH.D., PA-C

  • Physician Assistant
  • Fort Pierce, FL
National Provider Identifier
1083609473
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110277 Issued in FL
Practice address
5550 S US Highway 1
Fort Pierce, FL 34982-8701
Phone
(772) 460-9227
Fax
(772) 460-9292
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 PA9110277 FL Primary

Addresses

Primary practice location

5550 S US Highway 1
Fort Pierce, FL 34982-8701

Mailing address

5550 S US Highway 1
Fort Pierce, FL 34982-8701
Phone (772) 460-9227

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
I20181218001938 FL Practitioner - Physician Assistant 9537263470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10650 SW Tradition Pkwy
Port Saint Lucie, FL 34987-2862
Phone (772) 241-6840

1150 US Hwy 1
Vero Beach, FL 32960-5769
Phone (772) 978-5679

1730 SW Saint Lucie W Blvd
Port Saint Lucie, FL 34986-2504
Phone (772) 873-8155

1801 NE Jensen Beach Blvd
(Mdnow Jensen Beach)
Jensen Beach, FL 34957-7233
Phone (772) 334-1700

1900 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5554
Phone (772) 398-1588

4007 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-5679
Phone (772) 343-1774

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5550 S US Hwy 1
Fort Pierce, FL 34982-8701
Phone (772) 460-9227

640 21St St
Vero Beach, FL 32960-0933
Phone (772) 299-1092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PA9110277FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 1, 2023 Accepting new patients
Evans Medical Clinic PLLC Past Accepting new patients

Locations

5550 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 293-0377

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

1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-1588

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1083609473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828701",
            "telephone_number": "772-460-9227",
            "fax_number": "772-460-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828701",
            "telephone_number": "772-460-9227",
            "fax_number": "772-460-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATERINA",
        "first_name": "NANCY",
        "middle_name": "C",
        "credential": "PH.D., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.