Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alden Ann Mustard, PA-C

Individual provider Physician Assistant · NPI 1225885890

Alden Ann Mustard, PA-C is a Physician Assistant in Lake City, Florida. Qualified in 2023, 3 years ago. Practices with Cardiac Vision LLC, a 68-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

216 SE Corrections Way
Lake City, FL 32025-2013
Phone: (386) 292-7054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1225885890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cardiac Vision Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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