Individual provider Active NPI

Susan Decostanza Marchand, PA C

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1932110285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100966 Issued in FL
Practice address
350 NW 76TH Dr
Suite a
Gainesville, FL 32607-1593
Phone
(352) 332-4051
Fax
(352) 332-2966
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA9100966 FL Primary

Addresses

Primary practice location

350 NW 76TH Dr
Suite a
Gainesville, FL 32607-1593

Mailing address

3311 NW 29TH Ave
Gainesville, FL 32605-2713
Phone (352) 338-1730

Other names 1

  • Miss Susan Marie Decostanza Other name

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
I20111107000749 FL Practitioner - Physician Assistant 0345413373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Betsy Beers MD PAGroup PAC ID 7719063619, 7 clinicians

Practice addresses (Care Compare)

350 NW 76 Dr
Suite a
Gainesville, FL 32607-1593
Phone (352) 332-4051

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
92.13
Improvement activities
40
Cost
82.29

National Provider Directory

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

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932110285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 NW 29TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052713",
            "telephone_number": "352-338-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 76TH DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071593",
            "telephone_number": "352-332-4051",
            "fax_number": "352-332-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHAND",
        "first_name": "SUSAN",
        "middle_name": "DECOSTANZA",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DECOSTANZA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.