Individual provider Active NPI

Justin Ralph Stearns, PA

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1073778650
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104612 Issued in FL
Practice address
45 W Crystal Lake St Ste 197
Orlando, FL 32806-4462
Phone
(407) 254-2510
Fax
(407) 423-2789
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104612 FL Primary

Addresses

Primary practice location

45 W Crystal Lake St Ste 197
Orlando, FL 32806-4462

Mailing address

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080815000263 FL Practitioner - Physician Assistant 0143395707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Orthopaedic Center MD PAGroup PAC ID 3678562840, 45 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2699 Lee Rd
Suite 100
Winter Park, FL 32789-1738
Phone (407) 897-1363

2911 Red Bug Lake Rd
Suite 100
Casselberry, FL 32707-5905
Phone (407) 699-9511

464 N Alafaya TRL
Suite 108
Orlando, FL 32828-4350
Phone (407) 398-6450

6424 Alexandra Louise Dr
Suite 200
Orlando, FL 32827-5814
Phone (407) 418-0582

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
88.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9104612FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Orthopaedic Center MD PA CurrentSince Aug 2, 2021 Accepting new patients
Orlando Orthopaedic Center MD PA CurrentSince Aug 2, 2021 Accepting new patients

Locations

6424 Alexandra Louise Dr
Ste 200
Orlando, FL 32827
Phone (407) 418-0582

2501 N Orange Ave
Ste 340
Orlando, FL 32804
Phone (407) 872-7822

45 W Crystal Lake St
Ste 197
Orlando, FL 32806
Phone (407) 254-2500

464 N Alafaya Trl
Ste 108
Orlando, FL 32828
Phone (407) 254-2500

25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500

2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363

Interoperability endpoints

  • Direct secure messaging: justin.stearns.p1@direct.ooc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1073778650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W CRYSTAL LAKE ST STE 197",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064462",
            "telephone_number": "407-254-2510",
            "fax_number": "407-423-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARNS",
        "first_name": "JUSTIN",
        "middle_name": "RALPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.