REGINA D PRUITT (PA-C) – Medical Physician Assistant, NPI 1295940914

REGINA D PRUITT (PA-C) is a healthcare provider. based in Sarasota, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.493 (AL). The NPI Number for REGINA D PRUITT (PA-C) is 1295940914

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
REGINA D PRUITT (PA-C)
NPI
1295940914
Phone
(941) 827-0701
Address
1215 S East Ave Ste 301
Enumeration Date
14 May 2007
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213123501
Graduation Year
2006 (20 years ago)
PAC ID
1355433657
Group Practice PAC ID
3173965993
Professional Enrollment ID
I20201229002366
Address ID
FL329033204IN140XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for REGINA D PRUITT (PA-C)

  • 1215 S East Ave Ste 301

    Sarasota, FL 342392342

    Phone: (941) 827-0701

    Fax: (941) 365-7057

    Type: Location

  • 5601 21st Ave W Ste D

    Bradenton, FL 342095642

    Phone: (941) 792-8383

    Fax: (941) 792-8484

    Type: Location

  • 1940 HIGHWAY 33 UNIT A

    PELHAM, AL 351244887

    Phone: (205) 664-4010

    Type: Location

  • Summer Place Parkway, Chace Lake, Hoover, Jefferson County, Alabama, 35244, United States

    HOOVER, AL 352443099

    Phone: (205) 937-4204

    Type: Mailing

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone:

    Type: Mailing

  • 5717 21ST AVE W

    BRADENTON, FL 34209

    Phone: (941) 792-8383

    Fax: (941) 792-8484

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $3,760.

Total Amount is formed as General ($3,760) + Research ($0) + Ownership ($0) = $3,760.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,000).

Total Amount

$3,760

General + Research + Ownership

Payments

135

Total payment records

General Amount

$3,760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2020-12-29

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
I20201229002366IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes770468$0
99204New patient office or other outpatient visit, 45-59 minutes150150$0
99215Established patient office or other outpatient visit, 40-54 minutes5245$0
View full utilization report →

Insurance plans in this area (ZIP 34239)

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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: 3173965993View full group profile
NameSpecialtyState
Nurse PractitionerFL
E N D O C R I N O L O G YFL
Physical Therapist In Private PracticeIL
Family PracticeFL
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Internal MedicineFL
Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for REGINA D PRUITT (PA-C)?
REGINA D PRUITT (PA-C) — NPI 1295940914 — is the standard way to identify this listing.
Is REGINA D PRUITT (PA-C) still practicing?
REGINA D PRUITT (PA-C) is currently listed as active in the public NPI registry.
What is REGINA D PRUITT (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for REGINA D PRUITT (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect REGINA D PRUITT (PA-C) on a map?
Expect Sarasota, Florida as a primary anchor for REGINA D PRUITT (PA-C) unless the record lists multiple sites.
Why does REGINA D PRUITT (PA-C) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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