Individual provider Active NPI

Paula Andrea Ardila, PA-C

  • Physician Assistant
  • Celebration, FL
National Provider Identifier
1902430259
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112892 Issued in FL
Practice address
410 Celebration Place
Ste 208
Celebration, FL 34747-5434
Phone
(877) 800-0239
Fax
(407) 566-2499
NPI assigned
Feb 26, 2020
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112892 FL Primary
Medical Physician Assistant 363AM0700X PA9112892 FL
Surgical Physician Assistant 363AS0400X PA9112892 FL

Addresses

Primary practice location

410 Celebration Place
Ste 208
Celebration, FL 34747-5434

Mailing address

410 Celebration Place
Ste 208
Celebration, FL 34747-5434
Phone (877) 800-0239

Other practice location 1

1997 Daniels Road
Winter Garden, FL 34787-5434
Phone (877) 800-0239

Other practice location 2

2209 North Boulevard West
Ste C
Davenport, FL 33837-8903
Phone (877) 800-0239

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
I20201104000299 FL Practitioner - Physician Assistant 8820408784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

112 Park Place Blvd
Davenport, FL 33837-6857
Phone (407) 566-2229

1997 Daniels Rd
Winter Garden, FL 34787-4599
Phone (407) 566-2229

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

410 Celebration PL
Suite 208
Celebration, FL 34747-5434
Phone (561) 300-2410

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Nov 10, 2022 Accepting new patients
Womencare PA Past Accepting new patients
Mindpath Health Florida, PLLC Physician Assistant Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: paula.ardila.1@2183.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1902430259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PLACE",
            "address_2": "STE 208",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PLACE",
            "address_2": "STE 208",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Daniels Road",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875434",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 North Boulevard West",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378903",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDILA",
        "first_name": "PAULA",
        "middle_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112892",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112892",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9112892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.