Active NPI
Maryanna Piekarski, PA
- Physician Assistant
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1018 - Phone
- (941) 629-6262
- Fax
- (941) 629-1782
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1018
Mailing address
1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1018
Phone (941) 629-6262
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131210000475 | FL | Practitioner - Physician Assistant | 1254568637 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Orthopedic Center of Charlotte County, PA
Practice addresses (Care Compare)
1641 Tamiami TRL
Suite 1
Port Charlotte, FL 33948-1018
Phone (941) 629-6262
350 Mary St
Suite F
Punta Gorda, FL 33950-4564
Phone (941) 639-6699
Hospital & facility affiliations
- HCA Florida Fawcett Hospital
- Adventhealth Port Charlotte
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedic Center of Charlotte County, PA | Current | Accepting new patients |
Locations
1641 Tamiami Trl
Ste 1
Pt Charlotte, FL 33948
Phone (941) 629-6262
350 Mary St
Ste F
Punta Gorda, FL 33950
Phone (941) 629-6262
Networks
- Freedom Health HMO Network
Interoperability endpoints
- mpiekarski@aoc.emadirect.md
- maryannap@aocc1855.srs-direct.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Port Charlotte, FL
- NPI 1639177579
FL
-
- Orthopaedic Surgery Physician
- Venice, FL
- NPI 1619795317
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
Hospital
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1457786196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 TAMIAMI TRL",
"address_2": "SUITE 1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481018",
"telephone_number": "941-629-6262",
"fax_number": "941-629-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 TAMIAMI TRL",
"address_2": "SUITE 1",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481018",
"telephone_number": "941-629-6262",
"fax_number": "941-629-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEKARSKI",
"first_name": "MARYANNA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.