Individual provider Active NPI

Erin York Horst, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Port Charlotte, FL
National Provider Identifier
1699378745
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113648 Issued in FL
Practice address
3420 Tamiami TRL Unit 2
Port Charlotte, FL 33952-8126
Phone
(941) 629-2111
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 PA9113648 FL Primary

Addresses

Primary practice location

3420 Tamiami TRL Unit 2
Port Charlotte, FL 33952-8126

Mailing address

2805 87TH PL N Apt 108
Pinellas Park, FL 33782-6226
Phone (336) 469-2263

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
I20220422001036 FL Practitioner - Physician Assistant 5294122156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Pain and Spine LLCGroup PAC ID 8123447869, 15 clinicians

Practice addresses (Care Compare)

771 Cypress Village Blvd
Sun City Center, FL 33573-6801
Phone (813) 701-5804

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pain and Spine LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

2310 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 732-7246

7032 US Highway 301 N
Ellenton, FL 34222
Phone (941) 723-2131

1417 Lakeland Hills Blvd
Ste 201
Lakeland, FL 33805
Phone (833) 513-7246

3333 Clark Rd
Ste 190
Sarasota, FL 34231
Phone (941) 922-1400

3909 Galen Ct
Ste 104
Sun City Ctr, FL 33573
Phone (813) 400-3879

771 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 333-5080

620 S Macdill Ave
Ste B
Tampa, FL 33609
Phone (813) 878-2288

326 S 6th Ave
Wauchula, FL 33873

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

400 Avenue K SE
Ste 9
Winter Haven, FL 33880
Phone (863) 291-6313

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1699378745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 87TH PL N APT 108",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337826226",
            "telephone_number": "336-469-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 TAMIAMI TRL UNIT 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528126",
            "telephone_number": "941-629-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORST",
        "first_name": "ERIN",
        "middle_name": "YORK",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.