Individual provider Active NPI

Angela Marie Kuerbitz, PAC

  • Medical Physician Assistant
  • New Port Richey, FL
National Provider Identifier
1427366715
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9110112 Issued in FL
Practice address
5957 Rohan Rd
New Port Richey, FL 34653
Phone
(352) 518-2000
Fax
(352) 567-0218
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9110112 FL Primary

Addresses

Primary practice location

5957 Rohan Rd
New Port Richey, FL 34653

Mailing address

5957 Rohan Rd
New Port Richey, FL 34653
Phone (352) 518-2000

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
I20191004002670 FL Practitioner - Physician Assistant 8820268329 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110112FLMDMedical Physician Assistant
2717WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group, Inc Past Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
Premier Community Healthcare Group, Inc. Past Accepting new patients
Premier Community Healthcare Group, Inc. Past Accepting new patients
Premier Community Healthcare Group Inc Past Accepting new patients
Premier Community Healthcare Group, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1427366715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 ROHAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "352-518-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 ROHAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUERBITZ",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.