Cynthia Luciano, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111868 Issued in FL

Practice address

258 Treemonte Dr Ste 258
Orange City, FL 32763-7945

Phone

(386) 628-3376

Fax

(386) 877-0188

NPI assigned

Apr 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gina Sevigny M D P aGroup PAC ID 1850496076, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: cluciano1@ormondbeach.emadirect.md

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.

• Gina Sevigny M D P a

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  • Ormond Beach, FL
  • NPI 1649314212
  Medicare reassignment Care Compare group
• American Institute of Dermatology PA

  • Dermatology Physician
  • Sebring, FL
  • NPI 1861487795
  Medicare reassignment
• Neil Sandhu PA

  • Dermatology Physician
  • Orange City, FL
  • NPI 1124646930
  Medicare reassignment
• Nosky P.a.

  • Dermatology Physician
  • Poinciana, FL
  • NPI 1609215912
  Medicare reassignment

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1376005272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 TREEMONTE DR STE 258",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637945",
            "telephone_number": "386-628-3376",
            "fax_number": "386-877-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 TREEMONTE DR STE 258",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637945",
            "telephone_number": "386-628-3376",
            "fax_number": "386-877-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO",
        "first_name": "CYNTHIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose A Lopez Cintron, MD
• Omayra Lopez, LMT
• Awilda Lora, O.T.
• Gabriel Lorenzo, CSFA
• Wei Lu, MD
• Ashraf A Luqman, MD
• Alexa Lynn Lynch
• Jennifer C Macdonald, ARNP
• Shimara Mackey
• Jatea Monet Maddox, PHARM. D.

• Physician Assistant in Orange City, FL
• Providers in Orange City, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.

Verify at the official NPI Registry.