Loren Captain, PA-C
NPI 1053202960ActiveIndividual· Physician Assistant· Daytona Beach, FL
Physician Assistant (PA-C) in Daytona Beach, Florida, trained at Philadelphia Col of Osteo Med, Sewanee (class of 2025). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1053202960 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2025 |
| Last updated in NPPES | Oct 6, 2025 |
| Certified by provider | Oct 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|
Education and affiliations
| Medical school | Philadelphia Col of Osteo Med, Sewanee |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physician Assistant |
Hospital affiliations
- Adventhealth Palm Coast ParkwayPalm Coast, FL
- Adventhealth Palm CoastPalm Coast, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Daytona Beach
- 1003153032
- 1003449117
- 1003568890
- 1033707542
- 1063077667
- 1114231628
- 1134227754
- 1154069292
- 1184321788
- 1184807166
- 1245085489
- 1285969873
All 116 physician assistants in Daytona Beach · All physician assistants in Florida