Active NPI
William A Tison III, PA - C
- Physician Assistant
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9111468
- Practice address
- 901 45TH St
Kimmel Building
West Palm Beach, FL 33407 - Phone
- (561) 844-5255
- Fax
- (561) 844-5245
- NPI assigned
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9111468 | FL | Primary |
Addresses
Primary practice location
901 45TH St
Kimmel Building
West Palm Beach, FL 33407
Mailing address
2055 Military Trail Suite 204
Jupiter, FL 33458
Phone (561) 744-9733
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
Enrollment records 1
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
Practice addresses (Care Compare)
1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8608
600 Heritage Dr
Suite 105
Jupiter, FL 33458-3098
Phone (561) 884-5255
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
Hospital & facility affiliations
- Jupiter Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.65 of 100
- Quality
- 66.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9111468 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services II, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services II, LLC | Physician Assistant | Current | Accepting new patients |
Locations
3000 Bayview Dr
#100
Fort Lauderdale, FL 33306
Phone (954) 567-1332
3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332
600 Heritage Dr
Ste 105
Jupiter, FL 33458
Phone (561) 935-9233
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
5325 Greenwood Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 736-7313
5325 Greenwood Ave
Ste 101
West Palm Beach, FL 33407
Phone (561) 830-6093
Interoperability endpoints
- william.tison.1@13023.direct.athenahealth.com
- wtison21000@jupitermedicalcenter.direct-ci.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1912266420
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1770391286
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1306329693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 MILITARY TRAIL SUITE 204",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-744-9733",
"fax_number": "561-331-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 45TH ST",
"address_2": "KIMMEL BUILDING",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33407",
"telephone_number": "561-844-5255",
"fax_number": "561-844-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISON",
"first_name": "WILLIAM",
"middle_name": "A",
"name_suffix": "III",
"credential": "PA - C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-12",
"last_updated": "2022-04-18",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.