INA MICHELLE SANSON (PA-C) – Medical Physician Assistant, NPI 1578543674

INA MICHELLE SANSON (PA-C) is a healthcare provider. based in Orange park, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9101335 (FL). The NPI Number for INA MICHELLE SANSON (PA-C) is 1578543674

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
INA MICHELLE SANSON (PA-C)
NPI
1578543674
Phone
(904) 213-4298
Address
3080 COUNTRY CLUB BLVD
Enumeration Date
17 January 2006
Last Update Date
19 March 2009

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9043544488
Graduation Year
1998 (28 years ago)
PAC ID
9537338140
Group Practice PAC ID
4688579311
Professional Enrollment ID
I20110815000923
Address ID
FL322073346JA1639XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for INA MICHELLE SANSON (PA-C)

  • Country Club of Orange Park, 2525, Country Club Boulevard, Orange Park, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 320735730

    Phone: (904) 213-4298

    Type: Mailing

  • 1551, Riverside Avenue, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322044124

    Phone: (904) 354-4488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 251 Open Payments records for all available years, with a total value of $5,265.

Total Amount is formed as General ($5,265) + Research ($0) + Ownership ($0) = $5,265.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($665).

Total Amount

$5,265

General + Research + Ownership

Payments

251

Total payment records

General Amount

$5,265

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

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: 2011-08-15

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
I20110815000923IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths1,013186$0
99213Established patient office or other outpatient visit, 20-29 minutes652453$0
17000Destruction of precancer skin growth, 1 growth345261$0
11102Biopsy of related skin growth, first growth197176$0
17110Destruction of skin growth, 1-14 growths149132$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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Provider's Procedures

INA MICHELLE SANSON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL11101Biopsy of each additional growth of skin and/or tissue4729
PHYSICIAN ASSISTANTFL17003Destruction of 2-14 skin growths23556

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: 4688579311View full group profile
NameSpecialtyState
-NV
-FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
D E R M A T O L O G YFL
Physician AssistantFL
-FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL

Reviews

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Frequently asked questions

What federal number belongs to INA MICHELLE SANSON (PA-C)?
The federal identifier for INA MICHELLE SANSON (PA-C) is NPI 1578543674.
Does this profile mean INA MICHELLE SANSON (PA-C) is currently active?
Yes — INA MICHELLE SANSON (PA-C) appears active in the national provider directory.
What kind of provider is INA MICHELLE SANSON (PA-C)?
The page reflects Medical Physician Assistant for INA MICHELLE SANSON (PA-C). Clinical services aligned with this taxonomy classification.
Does INA MICHELLE SANSON (PA-C) practice in Florida?
You will see Orange Park, Florida on file for INA MICHELLE SANSON (PA-C) alongside any extra practice locations.
What if Orange Park, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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