Individual provider Active NPI

Cary Anne Falconer, MSPAS, PA-C

  • Physician Assistant
  • Tarpon Springs, FL
National Provider Identifier
1164907937
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111672 Issued in FL
Practice address
1005 E Boyer St
Tarpon Springs, FL 34689-5501
Phone
(727) 934-7638
Fax
(727) 944-4052
NPI assigned
Sep 27, 2018
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 PA9111672 FL Primary

Addresses

Primary practice location

1005 E Boyer St
Tarpon Springs, FL 34689-5501

Mailing address

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

Other practice location 1

2044 Trinity Oaks Blvd Ste 130
Trinity, FL 34655-4405
Phone (727) 375-5961

Other identifiers 1

IdentifierTypeStateIssuer
101173500MedicaidFL

Other names 1

  • Cary Anne Bame Former name

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
I20181120001856 FL Practitioner - Physician Assistant 4385998889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists of Florida PLLCGroup PAC ID 7214389279, 15 clinicians

Practice addresses (Care Compare)

508 S Habana Ave
Suite 300
Tampa, FL 33609-4144
Phone (888) 636-4727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9111672FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC PastSince Jun 6, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cfalconer@aadermaffiliates.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1164907937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-341-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E BOYER ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895501",
            "telephone_number": "727-934-7638",
            "fax_number": "727-944-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Trinity Oaks Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554405",
            "country_code": "US",
            "telephone_number": "727-375-5961",
            "fax_number": "727-376-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCONER",
        "first_name": "CARY",
        "middle_name": "ANNE",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101173500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARY",
            "last_name": "BAME",
            "middle_name": "ANNE",
            "credential": "MSPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.