Paige M Cupp

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9109979 Issued in FL

Practice address

10000 W Colonial Dr Ste 495
Ocoee, FL 34761

Phone

(407) 293-5944

NPI assigned

Jan 5, 2017

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Paige Mackenzie Former name

Medicare fee-for-service enrollment

Enrolled in FL, TN2 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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Kristin M Jackson LLCGroup PAC ID 7113263831, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60143

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristin M Jackson LLC

  dba Advanced Urogynecology

  • Gynecology Physician
  • Maitland, FL
  • NPI 1649748666
  Medicare reassignment Care Compare group NPD
• Ultacare Medical PLLC

  dba Dr. Hasemeier & Associates

  • Family Medicine Physician
  • New Tazewell, TN
  • NPI 1225141492
  Medicare reassignment Care Compare group
• Nosky P.a.

  dba Day Star Skin and Cancer Center

  • Dermatology Physician
  • Poinciana, FL
  • NPI 1609215912
  Medicare reassignment
• Surgical Specialists of Central Florida Inc

  dba Central Florida Vein And Vascular Center

  • Vascular Surgery Physician
  • Ocoee, FL
  • NPI 1396842753
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cumberland Medical Center, Inc.

  dba Cumberland Medical Center

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1255876827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 495",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613436",
            "telephone_number": "407-293-5944",
            "fax_number": "407-293-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 495",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-293-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "PAIGE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9109979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "MACKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nissa Cruz-Vickers, FNP-BC
• Imani Cruz
• Taylor A Cruz
• Crystal's Care & Comfort, LLC
• Leigh Cummins-Holloman
• Christian Curbelo
• Megan Curda
• Daniel William Curtis, PT
• Michael Cutter
• Karlette Aretha D'Aguiar, LMHC

• Physician Assistant in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.

Verify at the official NPI Registry.