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Active NPI 1528623238 Individual Practitioner Male Practitioner

Evan Mikell Incinelli

Physician Assistant • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Evan Incinelli is a registered healthcare professional specializing in Physician Assistant in Gainesville, FL. Practice services are available at 1600 SW ARCHER RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 32610

Telephone 3522650111
Associated Practice Facility / Clinic
🏢 Faculty Associates, Inc Facility NPI 1659322014

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
439 Specialists

Practicing in Gainesville, FL (10376 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
88 88 $984.00 $148.74
99284 Emergency department visit with moderate level of medical decision making
64 61 $678.00 $102.71

Medical Specialties & State Licenses

CMS Verified: 2020-01-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9112310

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
104303800 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brandace Kenworthy , ARNP

Nurse Practitioner - Family

NPI 1003272311

Advanced Registered Nurse Practitioner

Kyndal Smith

Nurse Anesthetist, Certified Registered

NPI 1003444787
Dr. James Antonios , MD

Student in an Organized Health Care Education/Training Program

NPI 1003600305

Doctor of Medicine (M.D.)

Justin Leal

Student in an Organized Health Care Education/Training Program

NPI 1003643388
Barbara Allen , ARNP

Nurse Practitioner - Women's Health

NPI 1013257583

Advanced Registered Nurse Practitioner

Jesse Armstrong

Student in an Organized Health Care Education/Training Program

NPI 1013603646

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address January 24, 2020

Registered at PO BOX 100108, GAINESVILLE, FL 326100108 (Tel: 3522735670)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2020

Physician Assistant (License #PA9112310 in FL)

📍
Updated Practice Location June 18, 2019

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 32610 (Tel: 3522650111)

📍
Updated Business Mailing Address June 18, 2019

Registered at 3924 LAKE MIRA DR, ORLANDO, FL 328171646 (Tel: 4074156570)

NPI Profile Active May 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2019

Registered at 2976 SW 35TH PL APT 92, GAINESVILLE, FL 326089362 (Tel: 4074156570)

📍
Updated Business Mailing Address May 08, 2019

Registered at 2976 SW 35TH PL APT 92, GAINESVILLE, FL 326089362

👤
Provider Name / Credentials Updated May 08, 2019

Recorded as EVAN INCINELLI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528623238
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2019
Last Update: January 24, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 100108

Gainesville, FL 326100108

Phone: 3522735670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.