Individual provider Active NPI

Patricia Hermans, P.A.

  • Physician Assistant
  • Sun City Center, FL
National Provider Identifier
1427015684
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102353 Issued in FL
Practice address
4051 Upper Creek Dr Ste 108
Sun City Center, FL 33573-6825
Phone
(813) 634-9264
Fax
(813) 634-8578
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 PA9102353 FL Primary

Addresses

Primary practice location

4051 Upper Creek Dr Ste 108
Sun City Center, FL 33573-6825

Mailing address

606 S Boulevard
Tampa, FL 33606-2630
Phone (813) 254-3016

Other identifiers 1

IdentifierTypeStateIssuer
P016113364OtherFLMEDICARE RALIROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MPM Specialists LLC Physician Assistant Past Accepting new patients
Tampa Bay Surgical Group LLP Past Accepting new patients

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1427015684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062630",
            "telephone_number": "813-254-3016",
            "fax_number": "813-254-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR STE 108",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-634-9264",
            "fax_number": "813-634-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANS",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RALIROAD",
            "identifier": "P016113364",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.