Individual provider Active NPI

Staci Irene Ragan Doeren, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1154775450
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109451 Issued in FL
Practice address
13610 Bruce B Downs Blvd
Tampa, FL 33613-4650
Phone
(813) 977-2777
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 PA9109451 FL Primary

Addresses

Primary practice location

13610 Bruce B Downs Blvd
Tampa, FL 33613-4650

Mailing address

13610 Bruce B Downs Blvd
Tampa, FL 33613-4650
Phone (813) 977-2777

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
I20160719002291 FL Practitioner - Physician Assistant 6709179393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10500 Ulmerton Rd
Suite 202
Largo, FL 33771-3544
Phone (727) 518-2273

10943 Causeway Blvd
Brandon, FL 33511-1997
Phone (813) 736-1488

12105 W Linebaugh Ave
Suite 1216
Tampa, FL 33626-1732
Phone (813) 547-7050

13256 State Rd
Suite 54
Odessa, FL 33556-3483
Phone (813) 920-0023

13610 Bruce B Downs Blvd
Tampa, FL 33613-4650
Phone (813) 977-2777

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

2102 S Dale Mabry Hwy
Tampa, FL 33629-6335
Phone (813) 798-1499

26812 US Hwy 19 N
Clearwater, FL 33761-3405
Phone (727) 799-2727

3030 4TH St N
Saint Petersburg, FL 33704-2105
Phone (727) 610-3660

408 E Brandon Blvd
Brandon, FL 33511-5318
Phone (813) 681-5571

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Apr 20, 2016 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Apr 20, 2016 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 15, 2024 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

13610 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 977-2777

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1154775450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134650",
            "telephone_number": "813-977-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134650",
            "telephone_number": "813-977-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEREN",
        "first_name": "STACI",
        "middle_name": "IRENE RAGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.