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

Tara M Andrisin, PA

Individual provider Physician Assistant · NPI 1518988211

Tara M Andrisin, PA is a Physician Assistant in Gainesville, Florida. Qualified in 2004, 22 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2006
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

120 NW 76th Dr
Gainesville, FL 32607-6652
Phone: (352) 333-3223
Fax: (352) 332-4550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 114 Nw 76th Dr, Gainesville, FL 32607-6652 — (352) 332-4442

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102874 (FL)

Record details

NPI number1518988211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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