Individual provider Active NPI

Agnieszka Onichimiuk, PA

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1245488113
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114642 Issued in FL
Practice address
9980 Central Park Blvd N Ste 304
Boca Raton, FL 33428-1704
Phone
(561) 483-8335
Fax
(561) 483-1756
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0126381 NY
Physician Assistant 363A00000X PA9114642 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N Ste 304
Boca Raton, FL 33428-1704

Mailing address

PO Box 20800
Belfast, ME 04915-4105
Phone (888) 402-7256

Other practice location 1

4807 Fort Hamilton Pkwy
Brooklyn, NY 11219-2937
Phone (718) 283-3017

Other practice location 2

21644 State Road 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20150727000421 NY Practitioner - Physician Assistant 4183937766 Reassigns benefits to 1 organization
I20230602002133 FL Practitioner - Physician Assistant 4183937766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenet Florida Physician Services LLCGroup PAC ID 0345349478, 239 clinicians

Practice addresses (Care Compare)

1411 N Flagler Dr
Suite 8000
West Palm Beach, FL 33401-3413
Phone (561) 650-6231

9980 Central Park Blvd N
Boca Raton, FL 33428-1704

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012638NYMDClinical Psychologist
PA9114642FLMDPhysician Assistant
0126381NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince May 31, 2023 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

9980 Central Park Blvd N
Ste 304
Boca Raton, FL 33428
Phone (561) 483-8335

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

3375 Burns Rd
Ste 101
West Palm Beach, FL 33410
Phone (561) 622-3618

Networks

  • Freedom Health HMO Network
  • Healthfirst Medicare Network H5989
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: agnieszka.onichimiuk.1@13023.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1245488113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20800",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281704",
            "telephone_number": "561-483-8335",
            "fax_number": "561-483-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4807 Fort Hamilton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192937",
            "country_code": "US",
            "telephone_number": "718-283-3017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21644 State Road 7",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281842",
            "country_code": "US",
            "telephone_number": "561-488-8000",
            "fax_number": "561-488-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONICHIMIUK",
        "first_name": "AGNIESZKA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0126381",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.