Individual provider Active NPI

Chelsea Noelle Mira Timonera, PA-C

  • Medical Physician Assistant
  • Riverview, FL
National Provider Identifier
1477315976
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9118451 Issued in FL
Practice address
3140 S Falkenburg Rd Ste 205
Riverview, FL 33578-2594
Phone
(813) 533-5522
Fax
(813) 533-5511
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118451 FL
Medical Physician Assistant 363AM0700X PA9118451 FL Primary

Addresses

Primary practice location

3140 S Falkenburg Rd Ste 205
Riverview, FL 33578-2594

Mailing address

3140 S Falkenburg Rd Ste 205
Riverview, FL 33578-2594
Phone (813) 533-5522

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
I20241202001114 FL Practitioner - Physician Assistant 3870028723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Omni Pain Care, LLCGroup PAC ID 6406135839, 4 clinicians

Practice addresses (Care Compare)

3140 S Falkenburg Rd
Suite 205
Riverview, FL 33578-2594
Phone (813) 533-5522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9118451FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Clearwater, LLC CurrentSince Sep 21, 2025 Accepting new patients
Omni Pain Care, LLC CurrentSince Oct 18, 2025 Accepting new patients
Neuspine Institute LLC CurrentSince Sep 22, 2024 Accepting new patients
Neuspine Institute LLC CurrentSince Sep 22, 2024 Accepting new patients

Locations

3140 S Falkenburg Rd
Ste 205
Riverview, FL 33578
Phone (813) 413-1824

2590 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 219-3269

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1477315976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 S FALKENBURG RD STE 205",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782594",
            "telephone_number": "813-533-5522",
            "fax_number": "813-533-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S FALKENBURG RD STE 205",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782594",
            "telephone_number": "813-533-5522",
            "fax_number": "813-533-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMONERA",
        "first_name": "CHELSEA NOELLE",
        "middle_name": "MIRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118451",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9118451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.