THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1609843358

THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT) is a healthcare provider. based in Vero beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA9104895 (FL). The NPI Number for THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT) is 1609843358

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT)
NPI
1609843358
Phone
(772) 569-2330
Address
1155 35TH LN
Enumeration Date
1 March 2006
Last Update Date
23 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722866300
Graduation Year
1994 (32 years ago)
PAC ID
3779625181
Group Practice PAC ID
6305885823
Professional Enrollment ID
I20100123000039
Address ID
FL349525530PO1889XBLVD600
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

Provider Addresses for THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT)

  • 1155 35TH LN

    SUITE 100

    VERO BEACH, FL 329606521

    Phone: (772) 569-2330

    Fax: (772) 569-2630

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,160.

Total Amount is formed as General ($1,160) + Research ($0) + Ownership ($0) = $1,160.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($184).

Total Amount

$1,160

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2010-01-23

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
I20100123000039IPhysician 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 minutes424222$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5454$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
81002Urinalysis, manual test3224$0
G0444Annual depression screening, 5 to 15 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 32960)

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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: 6305885823View full group profile
NameSpecialtyState
Nurse PractitionerFL
Family PracticeFL
Physician AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT) in U.S. healthcare records?
The official identifier for THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT) is NPI 1609843358.
Active or inactive — what applies to THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT)?
You should see THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT) as active in CMS-hosted NPPES data.
What expertise is attributed to THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT)?
THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT)?
Travel planning: use Vero Beach, Florida as the reference point for THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT), then confirm.
Does THERESA AUGUSTA REGIS (PHYSICIAN ASSISTANT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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