Stase Elena Michota

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11001287 Issued in FL

Practice address

6901 22ND Ave N
Saint Petersburg, FL 33710-3943

Phone

(727) 341-0212

NPI assigned

Jun 12, 2020

Sex

Female

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

Merit-based Incentive Payment System (MIPS)

Final score

87.25 of 100Reported as group

Quality

73.64

Promoting interoperability

99

Improvement activities

40

Cost

68.71

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: stase.michota@hca4.eclinicaldirectplus.com

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.

• Cardiology Consultants

  • Specialist
  • St Petersburg, FL
  • NPI 1811940802
  NPD (past)

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

• Galencare, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945
  Care Compare affiliation

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1144845413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 79TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337072718",
            "telephone_number": "727-492-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103943",
            "telephone_number": "727-341-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHOTA",
        "first_name": "STASE",
        "middle_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brecca Lynn Michaud, OTR/L
• Alexis Micheau
• Ivelisse Michel, MD
• Michelle Spuza Milord MD PA
• John Thomas Michoian, RN
• Dominique Jalisia Mickler, LCSW
• Darly Micourt, ARNP
• Midtown Dental Center LLC
• Megan Midura
• Carol F Miele, LMHC

• Nurse Practitioner in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.