Individual provider Active NPI

Barbara Acosta, PA-C

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1083643266
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102327 Issued in FL
Practice address
1760 N Congress Ave Ste 200
Boynton Beach, FL 33426
Phone
(561) 739-9595
NPI assigned
Jul 1, 2006
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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 PA9102327 FL Primary

Addresses

Primary practice location

1760 N Congress Ave Ste 200
Boynton Beach, FL 33426

Mailing address

2056 Chagall Cir
West Palm Beach, FL 33409-7524
Phone (305) 546-4690

Other practice location 1

120 Butler St Ste A
West Palm Beach, FL 33407-6107
Phone (561) 659-1510

Other practice location 2

4601 Military Trl Ste 203
Jupiter, FL 33458-4835
Phone (561) 775-6011

Other names 1

  • Barbara Diez Former name

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
I20040512000432 FL Practitioner - Physician Assistant 1759370885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

4601 Military TRL
Suite 203
Jupiter, FL 33458-4835
Phone (813) 321-1786

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9102327FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas K Pierce MD PA Past Accepting new patients

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

Hospital & facility affiliations 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1083643266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 CHAGALL CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097524",
            "telephone_number": "305-546-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 N CONGRESS AVE STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-739-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Butler St Ste A",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334076107",
            "country_code": "US",
            "telephone_number": "561-659-1510",
            "fax_number": "941-981-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Military Trl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334584835",
            "country_code": "US",
            "telephone_number": "561-775-6011",
            "fax_number": "561-775-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "BARBARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "DIEZ",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.