Individual provider Active NPI

Catherine Berdellans, PA

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1285277780
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6041 SW 54TH St Ste 200
Ocala, FL 34474-5521
Phone
(352) 857-8417
Fax
(855) 428-0627
NPI assigned
Oct 28, 2019
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 FL Primary

Addresses

Primary practice location

6041 SW 54TH St Ste 200
Ocala, FL 34474-5521

Mailing address

6041 SW 54TH St Ste 200
Ocala, FL 34474-5521
Phone (352) 857-8417

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
I20201228001954 FL Practitioner - Physician Assistant 8628481249 Reassigns benefits to 1 organization

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
Elyaman Medical Services PAGroup PAC ID 4284923467, 19 clinicians

Practice addresses (Care Compare)

6041 SW 54TH St
Suite 200
Ocala, FL 34474-5521
Phone (352) 857-8417

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1285277780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745521",
            "telephone_number": "352-857-8417",
            "fax_number": "855-428-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745521",
            "telephone_number": "352-857-8417",
            "fax_number": "855-428-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDELLANS",
        "first_name": "CATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.