Individual provider Active NPI

Margaret Ann Nazario, P.A.-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1689895963
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103232 Issued in FL
Practice address
625 6TH Ave S Ste 405
St Petersburg, FL 33701-4665
Phone
(727) 498-8994
Fax
(727) 498-8982
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 PA9103232 FL Primary

Addresses

Primary practice location

625 6TH Ave S Ste 405
St Petersburg, FL 33701-4665

Mailing address

625 6TH Ave S Ste 405
St Petersburg, FL 33701-4665
Phone (727) 498-8994

Other identifiers 1

IdentifierTypeStateIssuer
000411800MedicaidFL

Other names 1

  • Miss Margaret Ann De Los Santos 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
I20050808000416 FL Practitioner - Physician Assistant 8022047315 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9103232FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pediatric Associates LLC CurrentSince Oct 1, 2012 Accepting new patients
Gulf Coast Pediatrics of Sarasota, P.a. Past Accepting new patients
John Drygas LLC Past Accepting new patients
Gulf Coast Pediatrics of Sarasota, PA-C Past Accepting new patients
Baycare Medical Group, Inc. Physician Assistant Past Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients

Locations

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

625 6th Ave S
Ste 405
St Petersburg, FL 33701
Phone (727) 498-8994

4150 N Armenia Ave
Ste 103
Tampa, FL 33607

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1689895963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014665",
            "telephone_number": "727-498-8994",
            "fax_number": "727-498-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014665",
            "telephone_number": "727-498-8994",
            "fax_number": "727-498-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000411800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "DE LOS SANTOS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.