Active NPI
Anna Teresa Mixa, PA-C
- Physician Assistant
- South Pasadena, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9118132
- Practice address
- 1609 Pasadena Ave S Ste 1a
South Pasadena, FL 33707-4514 - Phone
- (727) 321-9644
- NPI assigned
- Nov 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | PA9118132 | FL | Primary |
Addresses
Primary practice location
1609 Pasadena Ave S Ste 1a
South Pasadena, FL 33707-4514
Mailing address
3612 El Centro St
St Pete Beach, FL 33706-3908
Phone (727) 743-0728
Other practice location 1
3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 925-1903
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1609 Pasadena Ave S
South Pasadena, FL 33707-4514
Phone (727) 321-9644
Hospital & facility affiliations
- St Anthonys Hospital
- HCA Florida St Petersburg Hospital
- HCA Florida Pasadena Hospital a Part of HCA Florid
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9118132 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Anesthesia and Pain Physicians of Florida, PA | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- amixa165702@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
-
- Orthopaedic Surgery Physician
- South Pasadena, FL
- NPI 1346250271
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Specialist
- Bradenton, FL
- NPI 1982815080
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1306611264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 EL CENTRO ST",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337063908",
"telephone_number": "727-743-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 PASADENA AVE S STE 1A",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074514",
"telephone_number": "727-321-9644"
}
],
"practiceLocations": [
{
"address_1": "3301 W Gandy Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336112931",
"country_code": "US",
"telephone_number": "813-925-1903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIXA",
"first_name": "ANNA",
"middle_name": "TERESA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9118132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.