Active NPI
Nolan Beerbower, P.A.
- Surgical Physician Assistant
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9110095
- Practice address
- 17000 Porter Rd Ste 205
Winter Garden, FL 34787-8915 - Phone
- (321) 843-5851
- Fax
- (321) 842-0460
- NPI assigned
- Dec 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9110095 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9110095 | FL | Primary |
Addresses
Primary practice location
17000 Porter Rd Ste 205
Winter Garden, FL 34787-8915
Mailing address
17000 Porter Rd Ste 205
Winter Garden, FL 34787-8915
Phone (321) 843-5851
Other practice location 1
1071 Aragon Ave
Winter Park, FL 32789-4729
Phone (321) 439-1991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019925700 | Medicaid | FL |
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
Enrollment records 1
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
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287
22 W Underwood St
Orlando, FL 32806-1110
Phone (407) 648-3800
32 W Gore St
Orlando, FL 32806-1134
380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (407) 767-1200
52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111
60 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851
62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851
76 W Underwood St
Orlando, FL 32806-1110
86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 896-1100
Hospital & facility affiliations
- Orlando Health
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9110095 | FL | MD | Physician Assistant |
| PA9110095 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
17000 Porter Rd
Ste 205
Winter Garden, FL 34787
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1780129965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 PORTER RD STE 205",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878915",
"telephone_number": "321-843-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 PORTER RD STE 205",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878915",
"telephone_number": "321-843-5851",
"fax_number": "321-842-0460"
}
],
"practiceLocations": [
{
"address_1": "1071 Aragon Ave",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327894729",
"country_code": "US",
"telephone_number": "321-439-1991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEERBOWER",
"first_name": "NOLAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-27",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9110095",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9110095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019925700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.