Nicholas Mudra, PHYSICIAN ASSISTANT
NPI 1336892892 · Physician Assistant · Gainesville, FL
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Mudra, PHYSICIAN ASSISTANT is a Physician Assistant provider in Gainesville, FL (NPI 1336892892).
Provider details
- NPI number
- 1336892892
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- 9115550 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-03
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Frequently asked questions
- What is Nicholas Mudra's NPI number?
- Nicholas Mudra's National Provider Identifier (NPI) is 1336892892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Mudra's specialty?
- Nicholas Mudra is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicholas Mudra located?
- Nicholas Mudra's practice location on file with NPPES is 1601 Sw Archer Rd, Gainesville, FL 32608-1135.
- What is Nicholas Mudra's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Mudra is (800) 324-8387.
- Does Nicholas Mudra accept Medicare?
- Nicholas Mudra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Mudra's NPI active?
- Yes — Nicholas Mudra's NPI (1336892892) is active in the NPPES registry as of the last update on 2022-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.