Betty Chen, PA
Individual provider Active NPI Physician Assistant · Orlando, FL
NPI 1750107918 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1750107918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9119483 (FL)
- Practice address
- 11602 Lake Underhill Rd Ste 119
Orlando, FL 32825-4460 - Phone
- (407) 781-1000
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
Hospital & facility affiliations
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241230002708 | FL | Practitioner - Physician Assistant | 7810424009 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9119483 | FL | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9119483 | FL | Yes |
Addresses
Primary practice location
11602 Lake Underhill Rd Ste 119
Orlando, FL 32825-4460
Mailing address
11602 Lake Underhill Rd Ste 119
Orlando, FL 32825-4460
NPI Registry JSON
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1750107918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11602 LAKE UNDERHILL RD STE 119",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11602 LAKE UNDERHILL RD STE 119",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254460",
"telephone_number": "407-781-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "BETTY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-10",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9119483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Eliana Fatima Checo
- Ashna Cheemakurthy
- David Cheesman
- Joshua Chemtob
- Allan Chen
- Christina Skye Chen
- David Chen
- Edem Fan Chen
- Emma Shuying Chen
- Fenfei Chen
All providers in Orlando, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.