Individual provider Active NPI

Felipe Andres Valencia, PA-C

  • Surgical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1366714958
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9106420 Issued in FL
Practice address
125 Baptist Way Ste 3a
Pensacola, FL 32503-2274
Phone
(448) 227-6604
Fax
(850) 857-1747
NPI assigned
Jan 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9106420 FL Primary

Addresses

Primary practice location

125 Baptist Way Ste 3a
Pensacola, FL 32503-2274

Mailing address

125 Baptist Way Ste 3a
Pensacola, FL 32503-2274
Phone (448) 227-6604

Other identifiers 1

IdentifierTypeStateIssuer
00460910-00MedicaidFL

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
I20120313000804 FL Practitioner - Physician Assistant 0749449668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9106420FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

125 Baptist Way
Ste 3A
Pensacola, FL 32503
Phone (448) 227-6500

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188

1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081

125 Baptist Way
Ste 3C
Pensacola, FL 32503
Phone (448) 227-6500

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.

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1366714958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6604",
            "fax_number": "850-444-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6604",
            "fax_number": "850-857-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "FELIPE",
        "middle_name": "ANDRES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460910-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.