Individual provider Active NPI

Anna Partin, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1972115228
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9113234 Issued in FL
Practice address
9141 Cypress Green Dr Ste 1
Jacksonville, FL 32256-2006
Phone
(904) 733-7333
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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 9113234 FL Primary

Addresses

Primary practice location

9141 Cypress Green Dr Ste 1
Jacksonville, FL 32256-2006

Mailing address

5290 Big Island Dr Unit 3312
Jacksonville, FL 32246-5321
Phone (865) 851-2920

Other names 1

  • Anna Edens Former 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
I20210316001764 FL Practitioner - Physician Assistant 8729494828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vijapura Behavioral Health PLLCGroup PAC ID 1658667597, 6 clinicians

Practice addresses (Care Compare)

9141 Cypress Green Dr
Suite 1
Jacksonville, FL 32256-2006
Phone (904) 733-7333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9113234FLMDPhysician 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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1972115228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 BIG ISLAND DR UNIT 3312",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465321",
            "telephone_number": "865-851-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 CYPRESS GREEN DR STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562006",
            "telephone_number": "904-733-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTIN",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "EDENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.