Individual provider Active NPI

Paulina Jude Collier, PA

  • Surgical Physician Assistant
  • Tampa, FL
National Provider Identifier
1184929531
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9111142 Issued in FL
Practice address
3030 N Rocky Point Dr W Ste 160
Tampa, FL 33607-5901
Phone
(813) 281-0567
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00249300 NJ
Surgical Physician Assistant 363AS0400X 0010-04275 NC
Surgical Physician Assistant 363AS0400X PA9111142 FL Primary

Addresses

Primary practice location

3030 N Rocky Point Dr W Ste 160
Tampa, FL 33607-5901

Mailing address

3030 N Rocky Point Dr W Ste 160
Tampa, FL 33607-5901
Phone (813) 281-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190605001175 FL Practitioner - Physician Assistant 4688851124 Reassigns benefits to 1 organization
I20240909001894 NY Practitioner - Physician Assistant 4688851124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone (516) 536-2800

400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 271-2536

658 White Plains Rd
Tarrytown, NY 10591-5104
Phone (914) 271-2536

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-1557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014698NYMDDental Hygienist
0010-04275NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Physician Assistant CurrentSince Jun 22, 2024 Accepting new patients
True North Medical Group PC CurrentSince Jun 22, 2024 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

658 White Plains Rd
Tarrytown, NY 10591
Phone (888) 636-7840

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: pcollier61225@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1184929531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075901",
            "telephone_number": "813-281-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075901",
            "telephone_number": "813-281-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "PAULINA",
        "middle_name": "JUDE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00249300",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-04275",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9111142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.