Individual provider Active NPI

Bianca Rhea Villafuerte Scicchitano, MMS, PA-C

  • Medical Physician Assistant
  • Gainesville, FL
National Provider Identifier
1285213900
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114039 Issued in FL
Practice address
4525 SW 13TH St
Gainesville, FL 32608-3901
Phone
(352) 377-8619
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA9114039 FL
Medical Physician Assistant 363AM0700X PA9114039 FL Primary

Addresses

Primary practice location

4525 SW 13TH St
Gainesville, FL 32608-3901

Mailing address

4525 SW 13TH St
Gainesville, FL 32608-3901
Phone (352) 870-9551

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
I20210609000682 FL Practitioner - Physician Assistant 0840690111 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Blanchard Stoer MD PAGroup PAC ID 3971523937, 5 clinicians

Practice addresses (Care Compare)

4525 SW 13TH St
Gainesville, FL 32608-3901
Phone (352) 377-8619

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114039FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions Dermatology CurrentSince Aug 17, 2025 Accepting new patients

Locations

4525 SW 13th St
Gainesville, FL 32608
Phone (352) 377-8619

Interoperability endpoints

  • Direct secure messaging: bvillafuerte@serenola.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1285213900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083901",
            "telephone_number": "352-870-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083901",
            "telephone_number": "352-377-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFUERTE SCICCHITANO",
        "first_name": "BIANCA RHEA",
        "name_prefix": "Miss",
        "credential": "MMS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9114039",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.