Active NPI
Steven Kenneth Anascavage Jr., PA-C
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1124842497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9119479
- Practice address
- 13778 Plantation Rd
Fort Myers, FL 33912-4301 - Phone
- (239) 343-0454
- Fax
- (239) 343-1078
- NPI assigned
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119479 | FL | Primary |
Addresses
Primary practice location
13778 Plantation Rd
Fort Myers, FL 33912-4301
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-0454
Other practice location 1
5020 King Arthur Avenue
Davie, FL 33331
Phone (954) 680-6162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126213700 | Medicaid | FL |
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13778 Plantation Rd
Fort Myers, FL 33912-4301
Phone (239) 343-0454
Hospital & facility affiliations
- Gulf Coast Medical Center Lee Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1124842497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-0454",
"fax_number": "239-343-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13778 PLANTATION RD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124301",
"telephone_number": "239-343-0454",
"fax_number": "239-343-1078"
}
],
"practiceLocations": [
{
"address_1": "5020 King Arthur Avenue",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "33331",
"country_code": "US",
"telephone_number": "954-680-6162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANASCAVAGE",
"first_name": "STEVEN",
"middle_name": "KENNETH",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-13",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9119479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126213700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.