Individual provider Active NPI

Sarah Lynn Stamos, PA-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1144982018
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9115166 Issued in FL
Practice address
15843 Haynie LN
Jupiter, FL 33478-6715
Phone
(561) 339-7488
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 9115166 FL Primary

Addresses

Primary practice location

15843 Haynie LN
Jupiter, FL 33478-6715

Mailing address

15843 Haynie LN
Jupiter, FL 33478-6715
Phone (561) 339-7488

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
I20220120000208 FL Practitioner - Physician Assistant 0840682001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202

5430 Military TRL
Jupiter, FL 33458-2873

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9115166FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Nov 15, 2021 Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

5430 Military Trl
Ste 64
Jupiter, FL 33458
Phone (561) 263-7010

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

3250 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 263-5775

Interoperability endpoints

  • Direct secure messaging: sstamos27581@jupitermedicalcenter.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1144982018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15843 HAYNIE LN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786715",
            "telephone_number": "561-339-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15843 HAYNIE LN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786715",
            "telephone_number": "561-339-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMOS",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9115166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.