Individual provider Active NPI

Angela Messina, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1962108704
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9116702 Issued in FL
Practice address
350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859
Phone
(954) 474-2929
NPI assigned
Feb 2, 2023
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 9116702 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859

Mailing address

350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859

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
I20240509000014 FL Practitioner - Physician Assistant 0941641914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

350 NW 84TH Ave
Suite 300
Plantation, FL 33324-1859
Phone (954) 474-2929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9116702FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Mar 25, 2024 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Mar 25, 2024 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

350 NW 84th Ave
Ste 300
Plantation, FL 33324
Phone (954) 473-6776

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1962108704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241859",
            "telephone_number": "954-474-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2024-03-11",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9116702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.