Laura Prevatt, PA-C

Individual provider Active NPI Physician Assistant · Celebration, FL

NPI 1992579817 · NPPES record last updated Mar 21, 2024

Key facts

NPI
1992579817
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA9118199 (FL)
Practice address
1530 Celebration Blvd Ste 101
Celebration, FL 34747-5165
Phone
(407) 566-0404
NPI assigned
Nov 10, 2023
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network Inc (428 clinicians)

Practice addresses (Care Compare)

1530 Celebration Blvd
Suite 101
Celebration, FL 34747-5165
Phone (407) 566-0404

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency · Kissimmee, FL · CCN 687400
  • Adventhealth Orlando Hospital · Orlando, FL · CCN 100007
  • Adventhealth Heart of Florida Hospital · Davenport, FL · CCN 100137

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240115001042 FL Practitioner - Physician Assistant 0345692406 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: lprevatt893735@adventhealth.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118199 FL Yes
Family Medicine Physician 207Q00000X PA9118199 FL

Addresses

Primary practice location

1530 Celebration Blvd Ste 101
Celebration, FL 34747-5165

Mailing address

5032 Millenia Palms Dr Apt 5301
Orlando, FL 32839-2372
Phone (813) 404-2138

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2024.

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1992579817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 MILLENIA PALMS DR APT 5301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392372",
            "telephone_number": "813-404-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "407-566-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVATT",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118199",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9118199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

All providers in Celebration, FL · Physician Assistant in Florida

Sources for this page

Verify at the official NPI Registry.