Alyssa Ostby Coutts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108966 Issued in FL

Practice address

1600 36TH St Ste B
Vero Beach, FL 32960

Phone

(772) 335-1500

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Selectskinmd LLCGroup PAC ID 7517261365, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Selectskinmd LLC

  • MOHS-Micrographic Surgery Physician
  • Vero Beach, FL
  • NPI 1427414168
  Medicare reassignment Care Compare group
• Allergy Dermatology & Skin Cancer Center Inc

  • Medical Specialty Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1386985950
  NPD (past)
• L a Vinas MD PA

  • Plastic Surgery Physician
  • West Palm Beach, FL
  • NPI 1679713473
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1922470434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 36TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606599",
            "telephone_number": "772-567-1164",
            "fax_number": "772-567-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-335-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTTS",
        "first_name": "ALYSSA",
        "middle_name": "OSTBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ydalina Inmaculada Coste Jimenez, ARNP
• County of Indian River
• Ember Courtney-Lima, DMD
• Kristine Courty, D.O.
• Nikki Cousin
• Nicole A Cowette, C-PA
• Todd E Cowgill, PAC
• Megan Anne Cox, RN, CDCES
• Larry Samuel Coy, PHARMD
• Jane R Coyle, LCSW

• Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.

Verify at the official NPI Registry.