Individual provider Active NPI

Anthony A Zembrzuski, PA C

  • Surgical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1558355545
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA3083 Issued in FL
Practice address
5147 N 9TH Ave Ste 103
Pensacola, FL 32504-8770
Phone
(850) 416-1900
Fax
(850) 416-1958
NPI assigned
Sep 6, 2005
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA3083 FL Primary

Addresses

Primary practice location

5147 N 9TH Ave Ste 103
Pensacola, FL 32504-8770

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other identifiers 2

IdentifierTypeStateIssuer
105172100MedicaidFL
290356300MedicaidFL

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
I20071121000288 FL Practitioner - Physician Assistant 7517055742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000

5147 N 9TH Ave
Suite 103
Pensacola, FL 32504-8770
Phone (850) 416-1900

5151 N 9TH Ave
Suite 200
Pensacola, FL 32504-8721
Phone (850) 416-4188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Apr 9, 2024 Accepting new patients
Sacred Heart Health System Inc CurrentSince Apr 9, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 11, 2021 Accepting new patients
North Florida Surgeons, PA CurrentSince Jan 11, 2021 Accepting new patients
Southeastern Clinical Services,Inc. Surgical PastSince Jun 5, 2012 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Stephen Schreiber, MD Past Accepting new patients
Associates in Neurosurgery, PA Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Precision Surgical Services LLC Surgical PastSince Jun 16, 2007 Accepting new patients
Florida Otolaryngology Group, P.a. PastSince Oct 3, 2012 Accepting new patients
German Montoya, M.D.PA Past Accepting new patients

Locations

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1717 N E St
Ste 530
Pensacola, FL 32501
Phone (850) 469-7702

1890 Summit Blvd
Pensacola, FL 32503
Phone (833) 419-1325

4012 N 9th Ave
Pensacola, FL 32503
Phone (850) 444-4777

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5147 N 9th Ave
Ste 103
Pensacola, FL 32504
Phone (850) 416-1900

1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711

1181 Orange Ave
Winter Park, FL 32789
Phone (407) 571-2751

Interoperability endpoints

  • Direct secure messaging: anthony.zembrzuski.1@9582.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1558355545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE STE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048770",
            "telephone_number": "850-416-1900",
            "fax_number": "850-416-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMBRZUSKI",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105172100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290356300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.