Individual provider Active NPI

Paula D'Ambra, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1326070533
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100922 Issued in FL
Practice address
399 9TH St N
#300
Naples, FL 34102-5820
Phone
(239) 624-4200
Fax
(239) 624-4201
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9100922 FL
Physician Assistant 363A00000X PA9100922 FL Primary

Addresses

Primary practice location

399 9TH St N
#300
Naples, FL 34102-5820

Mailing address

399 9TH St N
#300
Naples, FL 34102-5820
Phone (239) 624-4200

Other identifiers 3

IdentifierTypeStateIssuer
Y04JBOtherFLBCBS
E3420XOtherFLMEDICARE
010621400MedicaidFL

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
I20040826001228 FL Practitioner - Physician Assistant 8022083724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collier Hma Physician Management LLCGroup PAC ID 2769495167, 99 clinicians

Practice addresses (Care Compare)

6101 Pine Ridge Rd
Naples, FL 34119-3900

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9100922FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC CurrentSince Aug 1, 2020 Accepting new patients
Cardiac Surgical Associates of Southwest Florida, M.D., P.a. Past Accepting new patients

Locations

6101 Pine Ridge Rd
Ste 114
Naples, FL 34119

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: paula.d.ambra.1@4692.direct.athenahealth.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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1326070533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 9TH ST N",
            "address_2": "#300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 9TH ST N",
            "address_2": "#300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMBRA",
        "first_name": "PAULA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9100922",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y04JB",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E3420X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010621400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.