Active NPI
Nicole Ussia, PA-C, ATC
- Medical Physician Assistant
- Monroe, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9116817
- Practice address
- 600 Hospital Dr
Monroe, NC 28112-6000 - Phone
- (980) 993-3100
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9116817 | FL | Primary |
Addresses
Primary practice location
600 Hospital Dr
Monroe, NC 28112-6000
Mailing address
6705 Walnut Branch LN Apt 10310
Charlotte, NC 28277-8933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
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)
11802 N Dale Mabry Hwy
Suite 101
Tampa, FL 33618-3506
Phone (813) 609-3635
17512 Dona Michelle Dr
Tampa, FL 33647-3265
Phone (813) 533-3494
18610 Fernview St
Land O Lakes, FL 34638-6212
Phone (813) 692-8080
2331 4TH St N
St Petersburg, FL 33704-2801
Phone (727) 914-8566
3351 N McMullen Booth Rd
Clearwater, FL 33761-2014
Phone (727) 314-4774
4821 US Hwy 19
Suite 5
New Port Richey, FL 34652-4259
Phone (727) 851-9650
Hospital & facility affiliations
- St Josephs Hospital
- Morton Plant Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9116817 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Urgent Care, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650
2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- nicole.ussiapa@direct.mybaycare.org
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.
-
- General Practice Physician
- Largo, FL
- NPI 1184677007
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1932644762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6705 WALNUT BRANCH LN APT 10310",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HOSPITAL DR",
"city": "MONROE",
"state": "NC",
"postal_code": "281126000",
"telephone_number": "980-993-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USSIA",
"first_name": "NICOLE",
"credential": "PA-C, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9116817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.