Itzel Sandoval-Reynoso, PA-C
Physician Assistant · St Augustine, FL
Itzel Sandoval-Reynoso, PA-C is a physician assistant with a practice address in St Augustine, Florida, and NPI 1356011514, issued on Sep 17, 2021. Check the license (Florida PA9115077, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Itzel Sandoval-Reynoso
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA9115077 FL
Self-reported in NPPES; status is on the state search - Practice location
- 380 Pine Leaf Dr, St Augustine, FL 32092
- Phone
- (904) 707-3147
- Enumerated
- Sep 17, 2021
- Record last updated
- Nov 21, 2025
- Medicaid ID
- 112060700 FL
- Medicare enrollment
- Enrolled (PECOS I20211005001138); accepts Medicare assignment
- Medical or professional school
- Nova Southeastern College Of Osteo Medicine, 2021
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,257 in Florida → Look up another NPI →
Verify Itzel Sandoval-Reynoso in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license PA9115077Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mayo Clinic JacksonvilleJacksonville, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Itzel Sandoval-Reynoso among 10,257 physician assistant records in Florida
Itzel Sandoval-Reynoso, PA-C is one of 10,257 physician assistant records with a practice address in Florida. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 65% of them.
- NPI issued2021 · 65% of these records are older, 29% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2021 · median 2018 among the 5,867 with a school on file
- Record last updated2025 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
41 physician assistant records list a practice address in St Augustine
They are 41 of the 1,841 NPPES records with a practice address in St Augustine, and 10,257 physician assistant records in Florida.
All 10,257 in Florida → Every provider in St Augustine → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Melissa Fredrickson, PA-CSt Augustine, FL 320921619245875
- Nicholas FreemanSaint Augustine, FL 320921407342181
- Stephanie Hicks, PA-CSaint Augustine, FL 320921366808735
- Jordan KelleySt Augustine, FL 320921891632592
- Victoria Miller, PA-CSt Augustine, FL 320921316946866
- Richard Oldano, PASt Augustine, FL 320921437275880
- Jessica Caveny, PA-CStarke, FL 320911871054205
- Thomas Collins, PA-CStarke, FL 320911497786099
Common questions
What is Itzel Sandoval-Reynoso, PA-C's NPI number?
Itzel Sandoval-Reynoso, PA-C's National Provider Identifier (NPI) is 1356011514, issued on Sep 17, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Itzel Sandoval-Reynoso, PA-C located?
The NPPES record lists a practice address at 380 Pine Leaf Dr, St Augustine, FL, 32092. Phone: (904) 707-3147. Providers update this record themselves, so call before visiting.
How can I verify Itzel Sandoval-Reynoso, PA-C's license?
NPPES lists Florida license number PA9115077, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.