Active NPI
Ariana Parker, PA-C
- Medical Physician Assistant
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9117332
- Practice address
- 1295 Jacaranda Blvd
Venice, FL 34292-4522 - Phone
- (941) 538-7947
- Fax
- (941) 484-1072
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9117332 | FL | Primary |
Addresses
Primary practice location
1295 Jacaranda Blvd
Venice, FL 34292-4522
Mailing address
900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 313-2517
Other names 1
- Ariana Pucci
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Crosspointe Dr
Naples, FL 34110-0949
Phone (239) 596-9075
1295 Jacaranda Blvd
Venice, FL 34292-4522
Phone (941) 484-1510
14840 Tamiami TRL
North Port, FL 34287-2701
Phone (941) 564-1542
2481 Bobcat Village Ctr Rd
Unit 101
North Port, FL 34288-8493
Phone (941) 955-0360
Hospital & facility affiliations
- Sarasota Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117332 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Past | Accepting new patients |
Locations
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
2481 Bobcat Village Center Rd
Unit 101
North Port, FL 34288
Phone (941) 538-7319
14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542
1295 Jacaranda Blvd
Venice, FL 34292
Phone (941) 484-1510
Networks
- Freedom Health HMO Network
Interoperability endpoints
- aparker2@aquadermatology.emadirect.md
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.
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1356792824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VILLAGE SQUARE XING STE 290",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104552",
"telephone_number": "239-313-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924522",
"telephone_number": "941-538-7947",
"fax_number": "941-484-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "ARIANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9117332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ARIANA",
"last_name": "PUCCI",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.