Individual provider Active NPI

Katrina Tellez, PA-C

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1346815198
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114318 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 265-0301
NPI assigned
May 24, 2021
Reactivated
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X PA9114318 FL
Physician Assistant 363A00000X PA9114318 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

PO Box 100286
Gainesville, FL 32610-0286
Phone (352) 265-0535

Other identifiers 1

IdentifierTypeStateIssuer
111470100MedicaidFL

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
I20211027002867 FL Practitioner - Physician Assistant 0749678530 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
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians

Practice addresses (Care Compare)

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1000

4600 SW 46TH CT
Suite 250
Ocala, FL 34474-5754
Phone (352) 291-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
86.45
Promoting interoperability
99
Improvement activities
40
Cost
66.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114318FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Single Specialty CurrentSince Nov 17, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 17, 2024 Accepting new patients
Villages Regional Hospital Physician Services LLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ktellez747861@direct.shands.ufl.edu
  • Direct secure messaging: katrina.tellez@hca4.eclinicaldirectplus.com
  • Direct secure messaging: ktellez1217825@adventhealth.direct-ci.com

Organizations & group practices 5

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 1

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1346815198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100286",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100286",
            "telephone_number": "352-265-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "KATRINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "deactivation_date": "2021-07-02",
        "reactivation_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "PA9114318",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111470100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.