Individual provider Active NPI

Alejandra Delgado, PA

  • Physician Assistant
  • Sumterville, FL
National Provider Identifier
1467827428
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117763 Issued in FL
Practice address
1389 S US Hwy 301
Sumterville, FL 33585-5143
Phone
(352) 793-5900
Fax
(855) 767-2558
NPI assigned
Dec 2, 2015
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 PA9117763 FL Primary

Addresses

Primary practice location

1389 S US Hwy 301
Sumterville, FL 33585-5143

Mailing address

1425 S US 301
Sumterville, FL 33585-5141
Phone (352) 793-5900

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
I20231019001272 FL Practitioner - Physician Assistant 3577927722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Project Health IncGroup PAC ID 0446153399, 34 clinicians

Practice addresses (Care Compare)

120 N Montgomery Ave
Inverness, FL 34450-2439
Phone (352) 419-5760

1389 S US Hwy 301
Sumterville, FL 33585-5140
Phone (352) 793-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117763FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Project Health Inc. CurrentSince Oct 10, 2023 Accepting new patients
Project Health Inc. CurrentSince Oct 10, 2023 Accepting new patients
Project Health Inc Past Accepting new patients

Locations

7945 S Suncoast Blvd
Ste Ab
Homosassa, FL 34446
Phone (352) 423-4923

120 N Montgomery Ave
Inverness, FL 34450
Phone (352) 419-5760

300 S Line Ave
Inverness, FL 34452
Phone (352) 419-5760

595 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-2357

7205 SE Maricamp Rd
Ocala, FL 34472
Phone (352) 680-0324

1389 S US 301
Sumterville, FL 33585

1425 S US 301
Sumterville, FL 33585

Organizations & group practices 4

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1467827428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S US 301",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855141",
            "telephone_number": "352-793-5900",
            "fax_number": "888-518-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 S US HWY 301",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855143",
            "telephone_number": "352-793-5900",
            "fax_number": "855-767-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ALEJANDRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumterville, FL

Sources for this page

Verify at the official NPI Registry.