Individual provider Active NPI

Eric Andrew Metzker, PA-C

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1710356175
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114284 Issued in FL
Practice address
4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627
Phone
(561) 694-7776
Fax
(561) 694-3099
NPI assigned
Sep 16, 2015
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 PA9114284 FL Primary

Addresses

Primary practice location

4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627

Mailing address

4215 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4625
Phone (561) 694-8945

Other identifiers 1

IdentifierTypeStateIssuer
1710356175MedicaidDC

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
I20220216002424 FL Practitioner - Physician Assistant 6002125606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1411 N Flagler Dr
Suite 9800
West Palm Beach, FL 33401-3423
Phone (561) 694-7776

7701 Southern Blvd
Suite 100
West Palm Beach, FL 33411-3803
Phone (561) 694-7776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.56 of 100Reported as group
Quality
41.89
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114284FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Orthopaedic Institute PA CurrentSince Jan 3, 2022 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Jan 3, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2055 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 694-7777

4215 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 727-1175

4215 Burns Rd
Ste 200
Palm Beach Gardens, FL 33410

1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
Phone (561) 694-7778

7701 Southern Blvd
Ste 100
West Palm Beach, FL 33411
Phone (561) 694-7779

Interoperability endpoints

  • Direct secure messaging: emetzker20429@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: eric.metzker.1@13081.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1710356175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-694-8945",
            "fax_number": "561-694-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104627",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZKER",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710356175",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.