SEYDEL YANITZA DUBON (PA-C) – Physician Assistant, NPI 1013408871

SEYDEL YANITZA DUBON (PA-C) is a healthcare provider. based in Gainesville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9111395 (FL). The NPI Number for SEYDEL YANITZA DUBON (PA-C) is 1013408871

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SEYDEL YANITZA DUBON (PA-C)
NPI
1013408871
Phone
(352) 265-0129
Address
2000 SW ARCHER RD
Enumeration Date
28 May 2018
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8646643984
Graduation Year
2018 (8 years ago)
PAC ID
0446500144
Group Practice PAC ID
1759731383
Professional Enrollment ID
I20240816002967
Address ID
WA981074012SE2038XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for SEYDEL YANITZA DUBON (PA-C)

  • Archer Road, Gainesville, Alachua County, Florida, 32610, United States

    GAINESVILLE, FL 32608

    Phone: (352) 265-0129

    Type: Location

  • PO BOX 100226

    GAINESVILLE, FL 326100226

    Phone: (352) 273-8661

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240816002967IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759731383View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerOR
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerOR
Nurse PractitionerWA
Nurse PractitionerVA
Physician AssistantIL
Physician AssistantWA

Reviews

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Frequently asked questions

How do I look up SEYDEL YANITZA DUBON (PA-C) by NPI?
Use NPI 1013408871 when you need to reference SEYDEL YANITZA DUBON (PA-C) in forms, claims, or directories.
Is SEYDEL YANITZA DUBON (PA-C)'s NPI currently valid?
The extract we use shows SEYDEL YANITZA DUBON (PA-C) as active.
Can you summarize SEYDEL YANITZA DUBON (PA-C)'s specialty in plain language?
Clinically, the directory lists SEYDEL YANITZA DUBON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for SEYDEL YANITZA DUBON (PA-C)?
We surface Gainesville, Florida for SEYDEL YANITZA DUBON (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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