Individual provider Active NPI

Sean A Robinson, PA-C

  • Physician Assistant
  • Orange Park, FL
National Provider Identifier
1164466314
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101985 Issued in FL
Practice address
906 Park Ave
Orange Park, FL 32073-4120
Phone
(904) 541-0315
Fax
(904) 541-0316
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 PA9101985 FL Primary

Addresses

Primary practice location

906 Park Ave
Orange Park, FL 32073-4120

Mailing address

PO Box 160295
Altamonte Springs, FL 32716-0295
Phone (904) 541-0315

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
I20060629000213 FL Practitioner - Physician Assistant 7810909231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Avenue Dermatology PAGroup PAC ID 7517979933, 14 clinicians

Practice addresses (Care Compare)

1543 Kingsley Ave
Suite 16
Orange Park, FL 32073-4570
Phone (904) 541-0315

906 Park Ave
Orange Park, FL 32073-4120
Phone (904) 541-0315

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
100
Improvement activities
40
Cost
61.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9101985FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E. Schmieder DO. Facep, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: srobinson@pad.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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1164466314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160295",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160295",
            "telephone_number": "904-541-0315",
            "fax_number": "904-541-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734120",
            "telephone_number": "904-541-0315",
            "fax_number": "904-541-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SEAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.