Individual provider Active NPI

Alexandrea Ambrosetti, PA-C

  • Medical Physician Assistant
  • Leesburg, FL
National Provider Identifier
1437629490
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1801 US Highway 441 BLDG 100
Leesburg, FL 34748-2545
Phone
(352) 460-4004
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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 Primary

Addresses

Primary practice location

1801 US Highway 441 BLDG 100
Leesburg, FL 34748-2545

Mailing address

10250 SE 167TH Place Rd Unit 5
Summerfield, FL 34491-8682
Phone (352) 307-9925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190131002630 FL Practitioner - Physician Assistant 8820335664 Reassigns benefits to 2 organizations
I20211101001863 GA Practitioner - Physician Assistant 8820335664 Reassigns benefits to 3 organizations
I20231019002542 TN Practitioner - Physician Assistant 8820335664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10186GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Etowah Emergency Physicians, LLC CurrentSince Oct 1, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

Organizations & group practices 9

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1437629490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 US HIGHWAY 441 BLDG 100",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482545",
            "telephone_number": "352-460-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSETTI",
        "first_name": "ALEXANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.