Individual provider Active NPI

Anna V Mussone, PA

  • Physician Assistant
  • Maitland, FL
National Provider Identifier
1528314812
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106661 Issued in FL
Practice address
670 N Orlando Ave
Suite 1003
Maitland, FL 32751-4481
Phone
(407) 362-6541
Fax
(866) 362-3655
NPI assigned
Jul 24, 2012
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 PA9106661 FL Primary

Addresses

Primary practice location

670 N Orlando Ave
Suite 1003
Maitland, FL 32751-4481

Mailing address

670 N Orlando Ave
Suite 1003
Maitland, FL 32751-4481
Phone (407) 362-6541

Other names 1

  • Anna V Bazhanov Former name

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
I20130401000176 FL Practitioner - Physician Assistant 1658516364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Cardiac and Vascular Specialists LLCGroup PAC ID 3274850375, 13 clinicians

Practice addresses (Care Compare)

251 Maitland Ave
Suite 116
Altamonte Springs, FL 32701-4913
Phone (407) 915-5643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.17 of 100Reported as group
Quality
98.08
Promoting interoperability
100
Improvement activities
40
Cost
75.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9106661FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Heart & Vascular Institute LLC Current Accepting new patients
Adventhealth Orlando Cardiac & Vascular Specialists LLC PastSince Aug 10, 2025 Accepting new patients

Locations

450 W Central Pkwy
Ste 2000
Altamonte Springs, FL 32714
Phone (407) 767-8554

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGGGDD

Organizations & group practices 3

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 2

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1528314812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE",
            "address_2": "SUITE 1003",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514481",
            "telephone_number": "407-362-6541",
            "fax_number": "866-362-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE",
            "address_2": "SUITE 1003",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514481",
            "telephone_number": "407-362-6541",
            "fax_number": "866-362-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSONE",
        "first_name": "ANNA",
        "middle_name": "V",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BAZHANOV",
            "middle_name": "V",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.