Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336703461 Individual Practitioner Female Practitioner

Ayesha Falak Kietzman , PA

Physician Assistant • Hudson, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ayesha Kietzman, PA is a certified Physician Assistant practicing in Hudson, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Ayesha Kietzman delivers high-quality medical care to the local community at 13944 LAKESHORE BLVD STE C.

Ayesha Kietzman maintains professional affiliations with Tampa Family Health Centers Inc, H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13944 Lakeshore Blvd Ste C

Hudson, FL 346671431

Telephone 7276050252
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hudson, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -1.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Hudson, FL (10376 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kietzman (10 Years) 10 Yrs
Hudson Specialty Average (11.5 Years) 11.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
27 22 $142.00 $61.75

Medical Specialties & State Licenses

CMS Verified: 2026-01-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9112195

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.

Hospital & Practice Group Affiliations

Tampa Family Health Centers Inc

4620 N 22nd St, Tampa, FL 336106205

Phone: 8133975300

Tampa Family Health Centers Inc

7814 N Dale Mabry Hwy, Tampa, FL 336143220

Phone: 8133975300

H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc

12902 Usf Magnolia Dr, Tampa, FL 336129416

Phone: 8888602778

Secondary Practice Locations

14806 Morning Dr

Lutz, FL 335593270

Phone: 8505594257

12902 Usf Magnolia Dr

Tampa, FL 336129416

Phone: 8137457365

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address January 09, 2026

Registered at PO BOX 198441, ATLANTA, GA 303848441 (Tel: 8137457365)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2026

Physician Assistant (License #PA9112195 in FL)

📍
Updated Practice Location June 14, 2019

Registered at 13944 LAKESHORE BLVD STE C, HUDSON, FL 346671431 (Tel: 7276050252)

📍
Updated Business Mailing Address June 14, 2019

Registered at 14690 SPRING HILL DR STE 305, SPRING HILL, FL 346098102 (Tel: 3522775348)

NPI Profile Active April 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2019

Registered at 14806 MORNING DR, LUTZ, FL 335593270 (Tel: 8505594257)

📍
Updated Business Mailing Address April 24, 2019

Registered at 14806 MORNING DR, LUTZ, FL 335593270 (Tel: 8505594257)

👤
Provider Name / Credentials Updated April 24, 2019

Recorded as AYESHA KIETZMAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ayesha Kietzman. Be the first to share your experience!

Sign in to leave a review for Ayesha Kietzman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336703461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2019
Last Update: January 09, 2026
Sole Proprietor: No

Mailing Address

Po Box 198441

Atlanta, GA 303848441

Phone: 8137457365

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.