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

MS. Audrey C Sevilla-Ballereau, PA-C

Individual provider Physician Assistant · NPI 1225213200

MS. Audrey C Sevilla-Ballereau, PA-C is a Physician Assistant in Tampa, Florida. Graduated from Mercy College in 2007, 19 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida and Guam.

Years since qualifying
19
Trained at
Mercy College
Licensed in
FL, GU
In the registry since
2008
Specialties on file
3
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

3003 W Dr Martin Luther King Jr Blvd 2nd Mab
Tampa, FL 33607-6307
Phone: (813) 321-6580
Fax: (813) 443-8135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9108569 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9108569 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-070 (GU)

Record details

NPI number1225213200
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2008
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2007 (19 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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