Individual provider Active NPI

Aya Pauley, PA-C

  • Physician Assistant
  • Orange City, FL
National Provider Identifier
1477502888
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102037 Issued in FL
Practice address
2877 Wellness Ave
Orange City, FL 32763-8396
Phone
(386) 668-4650
Fax
(386) 668-4649
NPI assigned
May 10, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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 PA9102037 FL Primary

Addresses

Primary practice location

2877 Wellness Ave
Orange City, FL 32763-8396

Mailing address

2877 Wellness Ave
Orange City, FL 32763-8396
Phone (386) 668-4650

Other identifiers 1

IdentifierTypeStateIssuer
291453101MedicaidFL

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
I20040318001538 FL Practitioner - Physician Assistant 3375433634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney and Hypertension Specialists PAGroup PAC ID 2860558673, 8 clinicians

Practice addresses (Care Compare)

2877 Wellness Ave
Orange City, FL 32763-8396
Phone (386) 668-4650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
79.83
Promoting interoperability
100
Improvement activities
40
Cost
77.02

National Provider Directory

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

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1477502888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 WELLNESS AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638396",
            "telephone_number": "386-668-4650",
            "fax_number": "386-668-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 WELLNESS AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638396",
            "telephone_number": "386-668-4650",
            "fax_number": "386-668-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "AYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291453101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.