NPIMap

Individual provider Active NPI

Yvonne Hsia

  • Physician Assistant
  • Fleming Island, FL
National Provider Identifier
1962025197
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120945 Issued in FL
Practice address
1570 Island LN
Fleming Island, FL 32003-7453
Phone
(904) 264-1204
Fax
(904) 308-6890
NPI assigned
May 21, 2020
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 085008617 IL
Physician Assistant 363A00000X PA9120945 FL Primary
Medical Physician Assistant 363AM0700X 085.008617 IL

Addresses

Primary practice location

1570 Island LN
Fleming Island, FL 32003-7453

Mailing address

1570 Island LN
Fleming Island, FL 32003-7453
Phone (904) 264-1204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221004003611 IL Practitioner - Physician Assistant 4183000722 Reassigns benefits to 1 organization
I20251114000844 FL Practitioner - Physician Assistant 4183000722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1570 Island LN
Fleming Island, FL 32003-7453
Phone (904) 264-1204

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9120945FLMDPhysician Assistant
085008617ILMDPhysician Assistant
085.008617ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

1570 Island Ln
Orange Park, FL 32003
Phone (904) 264-1204

Interoperability endpoints

  • Direct secure messaging: yvonne.hsia.1@8967.direct.athenahealth.com

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

Hospital & facility affiliations 5

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1962025197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 ISLAND LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037453",
            "telephone_number": "904-264-1204",
            "fax_number": "904-308-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 ISLAND LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037453",
            "telephone_number": "904-264-1204",
            "fax_number": "904-308-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIA",
        "first_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008617",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120945",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.008617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.