Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831800218 Individual Practitioner Female Practitioner

Yudaisy Mogena Padron , PA

Physician Assistant • Lutz, FL

Professional Overview & Biography Verified Profile Summary

Yudaisy Mogena Padron, PA is a registered healthcare professional specializing in Physician Assistant in Lutz, FL. Practice services are available at 1539 DALE MABRY HWY STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1539 Dale Mabry Hwy Ste 102

Lutz, FL 335483008

Telephone 8139097102
Fax 8139090199
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lutz, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Lutz, FL (10376 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PACN68

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

State License PR 2295PA

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

State License FL 0105383

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
116404300 (FL)
Commercial Insurance / Payer ID Florida Certification Board
CBHCMS0102580 (FL)
Commercial Insurance / Payer ID Physician Assistant
PACN68 (FL)
Commercial Insurance / Payer ID Puerto Rico Medical Discipline And Licensuree Board
2295PA (PR)
Commercial Insurance / Payer ID Florida Certification Board
CBHCM0105383 (FL)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1134009202

Master of Social Work

Dr. Jack Bergh , MD

Family Medicine

NPI 1376506394

Doctor of Medicine (M.D.)

George Dorta Chapin , PA

Physician Assistant

NPI 1457178071

Physician Assistant

Raul Medina Rojo , MSN, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1548986987

Master of Science in Nursing, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dayana Fernandez-Pacheco Gorrin , CBHCMS

Case Manager/Care Coordinator

NPI 1942018809

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated July 16, 2025

Recorded as YUDAISY MOGENA PADRON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2025

Physician Assistant (License #2295PA in PR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2024

Case Manager/Care Coordinator (License #0105383 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2024

Physician Assistant (License #2295PA in PR)

👤
Provider Name / Credentials Updated March 15, 2023

Recorded as YUDAISY MOGENA PADRON, CBHCMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Social Worker (License #0102580 in FL)

NPI Profile Active December 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2022

Registered at 1539 DALE MABRY HWY STE 102, LUTZ, FL 335483008 (Tel: 8139097102)

📍
Updated Business Mailing Address December 07, 2022

Registered at 1539 DALE MABRY HWY STE 102, LUTZ, FL 335483008 (Tel: 8139097102)

👤
Provider Name / Credentials Updated December 07, 2022

Recorded as YUDAISY MOGENA PADRON, CBHCM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2022

Case Manager/Care Coordinator (License #0105383 in FL)

🟢
Initial NPI Registration & Enumeration December 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1831800218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2022
Last Update: July 16, 2025
Sole Proprietor: No

Mailing Address

1539 Dale Mabry Hwy Ste 102

Lutz, FL 335483008

Phone: 8139097102

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.