SANJUANA NOZILE (PA) – Physician Assistant, NPI 1376917252

SANJUANA NOZILE (PA) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 10141 (GA). The NPI Number for SANJUANA NOZILE (PA) is 1376917252

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SANJUANA NOZILE (PA)
NPI
1376917252
Phone
(512) 628-0465
Address
7300 RANCH ROAD 2222, BUILDING 1, STE 200
Enumeration Date
16 November 2015
Last Update Date
31 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702515111
Graduation Year
2015 (11 years ago)
PAC ID
6800178492
Group Practice PAC ID
6800798182
Professional Enrollment ID
I20210205000144
Address ID
GA302632384NE710XXBYPX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for SANJUANA NOZILE (PA)

  • 7300 RANCH ROAD 2222, BUILDING 1, STE 200

    AUSTIN, TX 78730

    Phone: (512) 628-0465

    Fax: (512) 233-2711

    Type: Mailing

  • 110 EAGLES WALK

    STOCKBRIDGE, GA 302816333

    Phone: (770) 251-5111

    Fax: (770) 254-8680

    Type: Location

  • 1600 SW ARCHER RD

    BOX 100279

    GAINESVILLE, FL 326100279

    Phone: (855) 483-3376

    Type: Mailing

  • 710 NEWNAN CROSSING BYP

    NEWNAN, GA 302632384

    Phone: (770) 251-5111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 120 Open Payments records for all available years, with a total value of $3,334.

Total Amount is formed as General ($3,334) + Research ($0) + Ownership ($0) = $3,334.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($584).

Total Amount

$3,334

General + Research + Ownership

Payments

120

Total payment records

General Amount

$3,334

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-02-05

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
I20170113001815IPhysician AssistantFLTBD
I20210205000144IPhysician AssistantGATBD

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 growths28456$0
99213Established patient office or other outpatient visit, 20-29 minutes231153$0
17000Destruction of precancer skin growth, 1 growth9882$0
99203New patient office or other outpatient visit, 30-44 minutes8080$0
11102Biopsy of related skin growth, first growth5854$0
View full utilization report →

Insurance plans in this area (ZIP 78730)

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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: 6800798182View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
-GA
-GA
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyFL
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantIN
D E R M A T O L O G YGA
Physician AssistantTX

Reviews

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Frequently asked questions

What is the registry number for SANJUANA NOZILE (PA)?
The registry entry for SANJUANA NOZILE (PA) shows NPI 1376917252.
Should I treat SANJUANA NOZILE (PA) as an active provider?
Patients and plans typically see SANJUANA NOZILE (PA) as active in the national extract.
What services align with SANJUANA NOZILE (PA)'s listing?
SANJUANA NOZILE (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SANJUANA NOZILE (PA) tied to Austin, Texas?
If you are local to Austin, Texas, SANJUANA NOZILE (PA) may be relevant to your search.
Can I export SANJUANA NOZILE (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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