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

Richard Axelsen, PA

Individual provider Physician Assistant · NPI 1063227734

Richard Axelsen, PA is a Physician Assistant in St Augustine, Florida. Qualified in 2024, 2 years ago. Practices with Villages Regional Hospital Physician Services LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

110 Health Park Blvd
St Augustine, FL 32086-5776
Phone: (631) 603-7980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1219969 (FL)

Record details

NPI number1063227734
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESJune 27, 2026
Certification dateJune 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Villages Regional Hospital Physician Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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