NPIMap

Individual provider Active NPI

Leah Jacqueline Stubblefield, PA-C

  • Medical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1073773206
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA910479 Issued in FL
Practice address
5880 49TH St N
Ste 104
St Petersburg, FL 33709-2150
Phone
(727) 528-6100
Fax
(727) 528-7895
NPI assigned
Jun 11, 2008
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA910479 FL Primary

Addresses

Primary practice location

5880 49TH St N
Ste 104
St Petersburg, FL 33709-2150

Mailing address

5344 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 403-2225

Other practice location 1

5344 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 403-2225

Other identifiers 2

IdentifierTypeStateIssuer
001677500MedicaidFL
AL867YOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080828000192 FL Practitioner - Physician Assistant 3173699147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Medical Associates PAGroup PAC ID 7214968791, 11 clinicians

Practice addresses (Care Compare)

5880 49TH St N
Suite 104
St Petersburg, FL 33709-2142
Phone (727) 528-6100

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
77.16
Promoting interoperability
93
Improvement activities
40
Cost
75.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA910479FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blca Investments Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Gateway Radiology Consultants, P.a. Past Accepting new patients
Total Health of Wesley Chapel Inc PastSince Sep 10, 2012 Accepting new patients

Locations

5344 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 200-2170

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lstubblefield189346@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1073773206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-403-2225",
            "fax_number": "352-403-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "STE 104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5344 Spring Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346064562",
            "country_code": "US",
            "telephone_number": "352-403-2225",
            "fax_number": "352-403-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "LEAH",
        "middle_name": "JACQUELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA910479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001677500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AL867Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.