Individual provider Active NPI

Julie Ann Esquinaldo, PA

  • Physician Assistant
  • Sebring, FL
National Provider Identifier
1154375046
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3722 Issued in FL
Practice address
5825 US Highway 27 N
Sebring, FL 33870-1216
Phone
(813) 321-1786
Fax
(813) 321-1787
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 PA3722 FL Primary

Addresses

Primary practice location

5825 US Highway 27 N
Sebring, FL 33870-1216

Mailing address

50 2ND St SE
Winter Haven, FL 33880-6300
Phone (863) 293-2100

Other names 1

  • Julie Ann Deal 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
I20100115000053 FL Practitioner - Physician Assistant 3375685209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
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)

5825 US Hwy 27 N
Sebring, FL 33870-1216
Phone (813) 321-1786

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions CurrentSince May 1, 2024 Accepting new patients
Douglas K Pierce MD PA Past Accepting new patients

Locations

500 Vonderburg Dr
Ste 206E
Brandon, FL 33511
Phone (813) 662-3777

500 Vonderburg Dr
Ste 115W
Brandon, FL 33511
Phone (813) 535-6212

14153 Yosemite Dr
Ste 101
Hudson, FL 34667
Phone (727) 222-0806

519 Bartow Rd
Lakeland, FL 33801
Phone (863) 682-6531

4651 Van Dyke Rd
Lutz, FL 33558

18228 N US Highway 41
Lutz, FL 33549

5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

429 2nd St NW
Winter Haven, FL 33881
Phone (863) 294-7558

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: je@ncdc.emadirect.md

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1154375046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 2ND ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806300",
            "telephone_number": "863-293-2100",
            "fax_number": "863-595-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701216",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUINALDO",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DEAL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.