Active NPI
Dana Lynn Pilz, PA-C
- Physician Assistant
- Bradenton, FL
National Provider Identifier
1629264676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113423
- Practice address
- 5301 4TH Avenue Cir E
Bradenton, FL 34208-5623 - Phone
- (941) 761-2900
- Fax
- (941) 795-1400
- NPI assigned
- Sep 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113423 | FL | Primary |
Addresses
Primary practice location
5301 4TH Avenue Cir E
Bradenton, FL 34208-5623
Mailing address
401 Interstate Blvd
Sarasota, FL 34240-8996
Phone (941) 312-5027
Other practice location 1
897 E Venice Ave Ste A
Venice, FL 34285-7061
Phone (941) 486-1404
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113423 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Hampton Medical, LLC | Physician Assistant | Past | Accepting new patients |
| Riverview Cardiac Surgery PA | Past | Accepting new patients | |
| Lee R Lumpkin III MD PA | Past | Accepting new patients | |
| Blue Ridge Health Center Inc | Past | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients |
Interoperability endpoints
- dpilz@coastalskinsurgery.emadirect.md
Organizations & group practices 7
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.
-
- Dermatology Physician
- Sarasota, FL
- NPI 1700202298
-
- MOHS-Micrographic Surgery Physician
- Miramar Beach, FL
- NPI 1114238193
-
- Specialist
- Venice, FL
- NPI 1619162773
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bradenton, FL
- NPI 1922053115
-
- Federally Qualified Health Center (FQHC)
- Arrington, VA
- NPI 1518945187
-
- Emergency Medicine Physician
- Mechanicsville, VA
- NPI 1366888224
Physician Assistant
-
- Diabetes Educator Registered Nurse
- Greenwood, SC
- NPI 1417582503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1629264676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 INTERSTATE BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342408996",
"telephone_number": "941-312-5027",
"fax_number": "941-554-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 4TH AVENUE CIR E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342085623",
"telephone_number": "941-761-2900",
"fax_number": "941-795-1400"
}
],
"practiceLocations": [
{
"address_1": "897 E Venice Ave Ste A",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342857061",
"country_code": "US",
"telephone_number": "941-486-1404",
"fax_number": "941-486-4146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILZ",
"first_name": "DANA",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-23",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.