Active NPI
McKenna Michelle O'Shea, PA
- Surgical Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9118636
- Practice address
- 5 Tampa General Cir
Tampa, FL 33606-3601 - Phone
- (517) 945-3459
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9118636 | FL | Primary |
Addresses
Primary practice location
5 Tampa General Cir
Tampa, FL 33606-3601
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other practice location 1
1413 S Moody Ave
Tampa, FL 33629-4738
Phone (517) 945-3459
Other practice location 2
2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AIEVF | Other | FL | BCBS |
| 122176000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | moshea304027@direct.tgh.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4202 E Fowler Ave
Tampa, FL 33620-6750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Physician Assistant | Past | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- moshea304027@direct.tgh.org
Organizations & group practices 5
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1114784485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063601",
"telephone_number": "517-945-3459"
}
],
"practiceLocations": [
{
"address_1": "1413 S Moody Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336294738",
"country_code": "US",
"telephone_number": "517-945-3459",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-821-8038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'SHEA",
"first_name": "MCKENNA",
"middle_name": "MICHELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9118636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AIEVF",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122176000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "moshea304027@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.