Active NPI
Matthew Cody Messina, PA-C
- Physician Assistant
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115188
- Practice address
- 10115 Forest Hill Blvd Ste 100
Wellington, FL 33414-6178 - Phone
- (561) 333-1118
- NPI assigned
- Dec 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9115188 | FL | Primary |
Addresses
Primary practice location
10115 Forest Hill Blvd Ste 100
Wellington, FL 33414-6178
Mailing address
10115 Forest Hill Blvd
Wellington, FL 33414-3105
Phone (561) 333-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9115188 | Other | FL | PHYSICIAN ASSISTANT |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10115 Forest Hill Blvd
Suite 100
Wellington, FL 33414-6178
Phone (561) 333-1118
1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Locations
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380
2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391
10115 Forest Hill Blvd
Ste 100
West Palm Beach, FL 33414
Phone (561) 333-1118
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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 and National Provider Directory roles.
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- Surgery Physician
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- NPI 1225354350
-
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1861151961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10115 FOREST HILL BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143105",
"telephone_number": "561-333-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10115 FOREST HILL BLVD STE 100",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146178",
"telephone_number": "561-333-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSINA",
"first_name": "MATTHEW",
"middle_name": "CODY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-16",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA9115188",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.