Individual provider Active NPI

Anamaria C Acosta, PA-C

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1851003669
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9116775 Issued in FL
Practice address
3000 Medical Park Dr Ste 200
Tampa, FL 33613-4695
Phone
(813) 879-8045
Fax
(813) 978-3667
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9116775 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 200
Tampa, FL 33613-4695

Mailing address

3000 Medical Park Dr Ste 200
Tampa, FL 33613-4695
Phone (813) 879-8045

Other practice location 1

26853 Foggy Creek Rd Ste 101
Wesley Chapel, FL 33544-6777
Phone (813) 879-8045

Other practice location 2

8105 State Road 54 Ste 2
New Port Richey, FL 34655-3000
Phone (813) 879-8045

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
I20230103002552 FL Practitioner - Physician Assistant 5092185330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722

26853 Foggy Creek Rd
Suite 101
Wesley Chapel, FL 33544-6777
Phone (813) 879-8045

3000 Medical Park Dr
Suite 200
Tampa, FL 33613-4695
Phone (813) 879-8045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9116775FLMDMedical Physician Assistant

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic LLC CurrentSince Jan 9, 2023 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Jan 9, 2023 Accepting new patients
Select Physicians Alliance PL Past Accepting new patients

Locations

12500 N Dale Mabry Hwy
Ste A
Tampa, FL 33618
Phone (813) 960-7533

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1851003669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134695",
            "telephone_number": "813-879-8045",
            "fax_number": "813-978-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134695",
            "telephone_number": "813-879-8045",
            "fax_number": "813-978-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26853 Foggy Creek Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446777",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-973-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8105 State Road 54 Ste 2",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346553000",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-978-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ANAMARIA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.