Active NPI
Rachel Elizabeth Printy, PA-C
- Physician Assistant
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113859
- Practice address
- 3455 S Yarrow St
Lakewood, CO 80227-5031 - Phone
- (303) 989-5231
- Fax
- (303) 989-9785
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113859 | FL | Primary |
Addresses
Primary practice location
3455 S Yarrow St
Lakewood, CO 80227-5031
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-1355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109643600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000271 | FL | Practitioner - Physician Assistant | 3870618911 | Reassigns benefits to 1 organization |
| I20220420000371 | CO | Practitioner - Physician Assistant | 3870618911 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Advanced Dermatology LLC
Practice addresses (Care Compare)
3455 S Yarrow St
Lakewood, CO 80227-5031
Phone (303) 989-5231
7950 Kipling St
Suite 102
Arvada, CO 80005-3929
Phone (303) 424-6248
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113859 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Ambulatory Care Physicians of Sarasota LLC | Past | Accepting new patients | |
| Total Vision Eye Care Group LLC | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients | |
| Northport Emergency Associates, PA | Past | Accepting new patients | |
| Denver Dermatology Consultants PC | Past | Accepting new patients | |
| Sarasota Emergency Associates PA | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
Interoperability endpoints
- rachel.printy@direct.mybaycare.org
- rprinty@center4advderm.emadirect.md
Organizations & group practices 13
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
FL, Physician Assistant
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Dermatology Physician
- New York, NY
- NPI 1922365915
-
- Dermatology Physician
- Thornton, CO
- NPI 1477564524
-
- Ophthalmology Physician
- Basalt, CO
- NPI 1568248243
-
- General Practice Physician
- Sarasota, FL
- NPI 1417986084
-
- Emergency Medicine Physician
- New York, NY
- NPI 1891757340
-
- Emergency Medical Services (Emergency Medicine) Physician
- North Port, FL
- NPI 1881835569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1104138916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-532-1355",
"fax_number": "813-635-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 S YARROW ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802275031",
"telephone_number": "303-989-5231",
"fax_number": "303-989-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINTY",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109643600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.