Individual provider Active NPI

Erin Amanda Gerlica, PA-C

  • Physician Assistant
  • Port St Lucie, FL
National Provider Identifier
1366247868
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119873 Issued in FL
Practice address
7710 S US Highway 1
Port St Lucie, FL 34952-2320
Phone
(772) 335-5300
Fax
(772) 200-2131
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119873 FL Primary

Addresses

Primary practice location

7710 S US Highway 1
Port St Lucie, FL 34952-2320

Mailing address

7710 S US Highway 1
Port St Lucie, FL 34952-2320
Phone (772) 335-5300

Other practice location 1

2221 SE Ocean Blvd Ste 200
Stuart, FL 34996-3341
Phone (772) 283-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310000084 FL Practitioner - Physician Assistant 2163943994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Orthopaedics and Sports Medicine CenterGroup PAC ID 5294728465, 16 clinicians

Practice addresses (Care Compare)

7710 S US Hwy 1
Port St Lucie, FL 34952-2320
Phone 77233553002015

Hospital & facility affiliations

  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopaedics & Sports Medicine Center CurrentSince Jan 26, 2025 Accepting new patients

Locations

7710 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 335-5300

2221 SE Ocean Blvd
Ste 200
Stuart, FL 34996
Phone (772) 219-4096

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 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": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1366247868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-200-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-200-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 SE Ocean Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963341",
            "country_code": "US",
            "telephone_number": "772-283-5500",
            "fax_number": "772-200-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERLICA",
        "first_name": "ERIN",
        "middle_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.