Individual provider Active NPI

Francisco Luis Ancaya, PA-C

  • Physician Assistant
  • Boone, NC
National Provider Identifier
1396966644
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08289 Issued in NC
Practice address
169 Doctors Dr
Boone, NC 28607-5017
Phone
(828) 264-4553
NPI assigned
May 2, 2007
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104141 FL
Physician Assistant 363A00000X 0010-08289 NC Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

169 Doctors Dr
Boone, NC 28607-5017

Mailing address

169 Birch St
Boone, NC 28607-5069
Phone (828) 264-4553

Other identifiers 1

IdentifierTypeStateIssuer
2643999968OtherFLTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081106000834 FL Practitioner - Physician Assistant 9537228432 Reassigns benefits to 1 organization
I20190110001093 NC Practitioner - Physician Assistant 9537228432 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9104141FLMDPhysician Assistant
0010-08289NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: fancaya1202435@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1396966644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BIRCH ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075069",
            "telephone_number": "828-264-4553",
            "fax_number": "828-262-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075017",
            "telephone_number": "828-264-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCAYA",
        "first_name": "FRANCISCO",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104141",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08289",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "2643999968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.