Individual provider Active NPI

Angelica Scott

  • Physician Assistant
  • Winter Haven, FL
National Provider Identifier
1790446490
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117972
Practice address
550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679
Phone
(863) 299-2630
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 PA9117972 Primary

Addresses

Primary practice location

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

3240 S Florida Ave Ste 101
Lakeland, FL 33803-4574
Phone (863) 644-7337

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
I20250414001733 FL Practitioner - Physician Assistant 2062936800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians
Trinity Medical Physicians LLCGroup PAC ID 9234554643, 30 clinicians

Practice addresses (Care Compare)

1037 S State Rd
7 Suite 113
Wellington, FL 33414-6139
Phone (561) 798-3030

3240 S Florida Ave
Suite 101
Lakeland, FL 33803-4574
Phone (863) 644-7337

550 Pope Ave NW
Suite 200
Winter Haven, FL 33881-4679
Phone (863) 299-2630

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Physicians, LLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

550 Pope Ave NW
Ste 200
Winter Haven, FL 33881
Phone (863) 271-9867

550 Pope Ave NW
Ste 300
Winter Haven, FL 33881
Phone (863) 299-2636

Interoperability endpoints

  • Direct secure messaging: angelica.scott.1@27472.direct.athenahealth.com

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1790446490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 S Florida Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034574",
            "country_code": "US",
            "telephone_number": "863-644-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA9117972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.