Wilson Emmanuel Roman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

14347 Earline Rd
Brooksville, FL 34614-2025

Phone

(407) 529-4454

NPI assigned

Jan 15, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunstate Healthcare LLCGroup PAC ID 7113210444, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunstate Healthcare LLC

  • Infectious Disease Physician
  • Brooksville, FL
  • NPI 1558718999
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1023829439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14347 EARLINE RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346142025",
            "telephone_number": "407-529-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14347 EARLINE RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346142025",
            "telephone_number": "407-529-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "WILSON",
        "middle_name": "EMMANUEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Ann Rodriguez
• Ricardo Rodriguez
• Brian M Roebuck, M.D.
• Matthew Ryan Romain, DPT
• Emmanuel Roman
• Nick Rosales, CSFA
• Khadijah Victoria Rose, B.A SLPA
• Robert Martin Roth
• Maria Beija Rovira-Remus, MD
• Sue Ellen Rowe, P.A.

• Physician Assistant in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.