Summit Primary Care PLLC
NPI 1548143274ActiveOrganization· Physician Assistant, Medical· Orlando, FL
Physician Assistant, Medical in Orlando, Florida, registered in NPPES in July 2025. The authorized official on file is Gracemarie Rosario Walls, PA-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548143274 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2025 |
| Last updated in NPPES | Oct 25, 2025 |
| Certified by provider | Oct 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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