Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538782321 Individual Practitioner Female Practitioner

Allyssa Nicole Koerber , PA-C

Physician Assistant • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Allyssa Koerber, PA-C is a registered healthcare professional specializing in Physician Assistant in Port Orange, FL. Practice services are available at 3953 S NOVA RD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3953 S Nova Rd Ste B

Port Orange, FL 321274910

Telephone 3867884911
Fax 8443886186
Associated Practice Facility / Clinic
🏢 Wagid F Guirgis Facility NPI 1871780106

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Port Orange, FL (10376 Statewide)

Telehealth Adoption Rate
8.3% 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: 2021-10-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9115064

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 - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003885823

Doctor of Medicine (M.D.)

NPI 1023132578

Doctor of Medicine (M.D.)

Dr. Sweta Sovani , MD

Internal Medicine

NPI 1023436383

Doctor of Medicine (M.D.)

Debra Babcock , ARNP

Nurse Practitioner - Family

NPI 1023482155

Advanced Registered Nurse Practitioner

Dr. Leslie Kidd , MD

Internal Medicine

NPI 1033127840

Doctor of Medicine (M.D.)

Dr. Anit Ford , MD

Family Medicine

NPI 1043209463

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 27, 2021

Registered at 3953 S NOVA RD STE B, PORT ORANGE, FL 321274910 (Tel: 3867884911)

📍
Updated Business Mailing Address October 27, 2021

Registered at 3953 S NOVA RD STE B, PORT ORANGE, FL 321274910 (Tel: 3867884911)

📍
Updated Practice Location August 19, 2021

Registered at 4109 HAUDRICH RD, WATERLOO, IL 622984435 (Tel: 6183406080)

📍
Updated Business Mailing Address August 19, 2021

Registered at 4109 HAUDRICH RD, WATERLOO, IL 622984435 (Tel: 6183406080)

👤
Provider Name / Credentials Updated August 19, 2021

Recorded as ALLYSSA KOERBER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2021

Physician Assistant

NPI Profile Active May 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2020

Registered at 200 ELLEN LN, O FALLON, IL 622691719 (Tel: 6183406080)

📍
Updated Business Mailing Address May 27, 2020

Registered at 200 ELLEN LN, O FALLON, IL 622691719 (Tel: 6183406080)

👤
Provider Name / Credentials Updated May 27, 2020

Recorded as ALLYSSA KOERBER, PA-STUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 27, 2020

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: 1538782321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2020
Last Update: October 27, 2021
Sole Proprietor: No

Mailing Address

3953 S Nova Rd Ste B

Port Orange, FL 321274910

Phone: 3867884911

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.