JOSEPH A JR. MIRVILLE (PA-C) – Surgical Physician Assistant, NPI 1043683311

JOSEPH A JR. MIRVILLE (PA-C) is a healthcare provider. based in Hudson, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9109111 (FL). The NPI Number for JOSEPH A JR. MIRVILLE (PA-C) is 1043683311

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH A JR. MIRVILLE (PA-C)
NPI
1043683311
Phone
Not provided
Address
14000 FIVAY RD
Enumeration Date
9 November 2015
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
1456694892
Group Practice PAC ID
1355240177
Professional Enrollment ID
I20190528001405
Address ID
FL342392941SA1921XSTXX300

Contacts

Secure Messaging
jmirville279654@direct.tgh.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JOSEPH A JR. MIRVILLE (PA-C)

  • 14000 FIVAY RD

    HUDSON, FL 346677103

    Phone:

    Type: Mailing

  • PO BOX 917770

    ORLANDO, FL 328910001

    Phone:

    Type: Mailing

  • 2 TAMPA GENERAL CIR

    TAMPA, FL 336063571

    Phone: (813) 821-8038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,390.

Total Amount is formed as General ($1,390) + Research ($0) + Ownership ($0) = $1,390.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABIOMED ($1,107).

Total Amount

$1,390

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190528001405IPhysician AssistantFLTBD
I20230214000791IPhysician AssistantKSTBD

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 34667)

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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: 1355240177View full group profile
NameSpecialtyState
Critical Care (Intensivists)FL
N E U R O L O G YFL
General SurgeryFL
-FL
-FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for JOSEPH A JR. MIRVILLE (PA-C)?
Save NPI 1043683311 if you need a stable reference for JOSEPH A JR. MIRVILLE (PA-C).
Is JOSEPH A JR. MIRVILLE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOSEPH A JR. MIRVILLE (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for JOSEPH A JR. MIRVILLE (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for JOSEPH A JR. MIRVILLE (PA-C)?
We surface Hudson, Florida for JOSEPH A JR. MIRVILLE (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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