Active NPI
Michael P Nuccio, PA
- Physician Assistant
- Marianna, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102042
- Practice address
- 3051 6TH St
Marianna, FL 32446-1933 - Phone
- (850) 526-3236
- Fax
- (850) 526-4060
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102042 | FL | Primary |
Addresses
Primary practice location
3051 6TH St
Marianna, FL 32446-1933
Mailing address
3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292608300 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040908000362 | FL | Practitioner - Physician Assistant | 4981670213 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Orthopedic Clinic III PL
Practice addresses (Care Compare)
3051 6TH St
Marianna, FL 32446-1933
Phone (850) 526-3236
3334 Capital Medical Blvd
Suite 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
925 Carlisle Rd
Chipley, FL 32428-4360
Phone (850) 526-3236
Hospital & facility affiliations
- Centerwell Home Health
- Enhabit Home Health
- Concierge Home Care
- Jackson Hospital
- Northwest Florida Community Hospital
- Doctors Memorial Hospital
- Tallahassee Memorial Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.5 of 100
- Quality
- 47.27
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic Clinic III PL | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients |
Locations
925 Carlisle Rd
Chipley, FL 32428
Phone (850) 526-3236
3051 6th St
Marianna, FL 32446
Phone (850) 482-0017
5243 Hanff Ln
New Pt Richey, FL 34652
Phone (727) 787-5577
3890 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 787-5577
2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308
Interoperability endpoints
- michael.nuccio.1@18802.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
FL
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Blountstown, FL
- NPI 1528283777
-
- Home Health Agency
- Marianna, FL
- NPI 1194918854
-
- Home Health Agency
- Panama City, FL
- NPI 1598325714
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1972575991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD",
"address_2": "STE 400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174",
"fax_number": "850-877-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 6TH ST",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461933",
"telephone_number": "850-526-3236",
"fax_number": "850-526-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCCIO",
"first_name": "MICHAEL",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292608300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.