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Deactivated NPI 1023239928 Deactivated / Inactive NPI Female Practitioner

Cindy Lee Anderson , PA-C

Physician Assistant • Orange Park, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cindy Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2007
NPI Deactivation Date September 01, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Cindy Anderson, PA-C was a registered Physician Assistant practicing in Orange Park, FL. Throughout an active medical career spanning 14 years, Cindy Anderson provided care at the practice location at 1563 KINGSLEY AVENUE until profile deactivation on 2021-09-01.

Historical Medicare Part B clinical services included dialysis services, 2-3 physician visits per month (20 years or older), subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1563 Kingsley Avenue
Suite 106

Orange Park, FL 32073

Telephone 9042726161
Fax 9043895332
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
52 Specialists

Practicing in Orange Park, FL (10376 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.2% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
33 31 $485.00 $239.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 13 $146.00 $62.23

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

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.

Practice Associates & Co-Workers

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

24 Associated Practitioners
Dr. Paul Maraj , MD

Internal Medicine - Nephrology

NPI 1114214301

Doctor of Medicine (M.D.)

Dr. Andreea Poenariu , MD

Internal Medicine - Nephrology

NPI 1194046888

Doctor of Medicine (M.D.)

Dr. James Baker , MD, PA

Internal Medicine - Nephrology

NPI 1265470066

Doctor of Medicine (M.D.), Physician Assistant

Alexandra Michaelis , ARNP

Nurse Practitioner - Family

NPI 1295128817

Advanced Registered Nurse Practitioner

Dr. Bachar Alkhalil , MD

Internal Medicine - Nephrology

NPI 1316969595

Doctor of Medicine (M.D.)

Dr. David Michal , MD

Internal Medicine - Nephrology

NPI 1427051036

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 01, 2021

Record deactivated on September 01, 2021

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2017

Registered at 1563 KINGSLEY AVENUE, SUITE 106, ORANGE PARK, FL 32073 (Tel: 9042726161)

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Updated Business Mailing Address January 03, 2017

Registered at 2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG., JACKSONVILLE, FL 322044763 (Tel: 9043895333)

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Provider Name / Credentials Updated January 03, 2017

Recorded as CINDY ANDERSON, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Physician Assistant

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Initial NPI Registration & Enumeration May 01, 2007

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: 1023239928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: January 03, 2017
Deactivation Date: September 01, 2021

Mailing Address

2 Shircliff Way, Suite 700 Depaul Bldg.

Jacksonville, FL 322044763

Phone: 9043895333

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.