Paige M Cupp · Paige Mackenzie · Physician Assistant

10000 W Colonial Dr Ste 495, Ocoee, FL 34761

Overview

Paige M Cupp is a Physician Assistant practicing in Ocoee, Florida. The National Provider Identifier (NPI) is #1255876827, which was assigned on January 5, 2017, and the registration record was last updated on October 23, 2025. The practitioner's main practice location is at 10000 W Colonial Dr Ste 495, Ocoee, FL 34761; the contact telephone number is 4072935944. The primary taxonomy of Paige M Cupp is Physician Assistant (363A00000X). Paige M Cupp is licensed to practice in the state of Florida (#PA 9109979).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1255876827
Entity Type Individual
Provider Name PAIGE M CUPP
Other Name PAIGE MACKENZIE
(Former Name)
Gender Female
Practice Address 10000 W Colonial Dr Ste 495
Ocoee
FL 34761
Practice Telephone 4072935944
Mailing Address 10000 W Colonial Dr Ste 495
Ocoee
FL 34761-3436
Mailing Telephone 4072935944
Mailing Fax Number 4072937355
Certification Date 2025-10-23
Enumeration Date 2017-01-05
Last Update Date 2025-10-23
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 0749557460
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name PAIGE M CUPP
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name KRISTIN M JACKSON LLC
Address 260 Lookout Pl
Suite 201
Maitland
FL 32751-4485

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician AssistantPA 9109979FL

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Location Information

Street Address 10000 W COLONIAL DR STE 495
City OCOEE
State FL
Zip Code 34761
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Harry Agis 10000 W Colonial Dr Ste 495, Ocoee, FL 34761-3436Specialist2006-01-26
Joseph Garry Wrobleski Jr. 10000 W Colonial Dr Ste 495, Ocoee, FL 34761-3436Vascular Surgery Physician2007-02-05
Carlene D. Waters-Hollingsworth 10000 W Colonial Dr Ste 495, Ocoee, FL 34761-3436Physician Assistant2006-05-12
Ammar Saati 10000 W Colonial Dr Ste 495, Ocoee, FL 34761-3436Specialist2012-04-26
Todd R Hansen 10000 W Colonial Dr Ste 495, Ocoee, FL 34761-3436Phlebology Physician2006-05-25

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mc Medical LLC 10490 W Colonial Dr, Ocoee, FL 34761Nurse Practitioner2022-11-30
Nicole Marie Lavoie · Nicole Marie Angione 10956 W. Colonial Drive Couture Med Spa, Ocoee, FL 34761Family Nurse Practitioner2020-02-26
Lexi Ann Rael 2930 Maguire Road Suite 200, Ocoee, FL 34761Behavior Technician2024-01-01
Isabella Santos 2930 Maguire Rd 300, Ocoee, FL 34761Behavior Technician2024-10-14
Nephron Care & Dialysis LLC Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761Nephrology Physician2020-05-28
Wh Fl Dental PLLC 01490 W Colonial Dr, Ocoee, FL 34761Dentist2022-11-25
Progressive Living - A Lifestyle, LLC 265 Port Augustine Circle, Apt 202, Ocoee, FL 34761Home Health Agency2025-06-03
Fm Dental, LLC 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761Dental Clinic/Center2020-03-20
Chantal Monde 1000 W Colonial Drive, Ocoee, FL 34761Primary Care Nurse Practitioner2019-05-03
Carroll Lolita Gordon 1119 Sand Creek Loop, Ocoee, FL 34761Home Health Aide2020-10-14
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.