Individual provider Active NPI

Colby Crile, PA-C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1649725326
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9109879 Issued in FL
Practice address
3210 SW 33Rd Rd Ste 101
Ocala, FL 34474
Phone
(352) 512-0092
Fax
(352) 512-0093
NPI assigned
Aug 23, 2016
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 9109879 FL Primary

Addresses

Primary practice location

3210 SW 33Rd Rd Ste 101
Ocala, FL 34474

Mailing address

1740 SE 18TH St Ste 1102
Ocala, FL 34471-5447
Phone (352) 512-0092

Other practice location 1

100 W Gore St
Suite 600
Orlando, FL 32806-1044
Phone (407) 299-7333

Other practice location 2

1740 SE 18th St Ste 1102
Ocala, FL 34471-5447
Phone (352) 512-0092

Other names 1

  • Colby Beck 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
I20161202000489 FL Practitioner - Physician Assistant 7618257916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Skin Institute LLCGroup PAC ID 3870746605, 18 clinicians

Practice addresses (Care Compare)

1740 SE 18TH St
Ocala, FL 34471-5447
Phone (352) 512-0092

3210 SW 33Rd Rd
Suite 101
Ocala, FL 34474-7409
Phone (352) 512-0092

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
83.28
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9109879FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1649725326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 1102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715447",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 SW 33RD RD STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34474",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Gore St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061044",
            "country_code": "US",
            "telephone_number": "407-299-7333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 SE 18th St Ste 1102",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344715447",
            "country_code": "US",
            "telephone_number": "352-512-0092",
            "fax_number": "352-512-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRILE",
        "first_name": "COLBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLBY",
            "last_name": "BECK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.