Active NPI
Stephanie Fern Boyer, PA-C
- Medical Physician Assistant
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9104823
- Practice address
- 316 Del Prado Blvd S
Suite 201
Cape Coral, FL 33990-1710 - Phone
- (239) 829-7102
- Fax
- (239) 829-7104
- NPI assigned
- Dec 17, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9104823 | FL | Primary |
Addresses
Primary practice location
316 Del Prado Blvd S
Suite 201
Cape Coral, FL 33990-1710
Mailing address
10700 Stringfellow Rd
Suite 40
Bokeelia, FL 33922-3232
Phone (239) 282-8411
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
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1503 Buenos Aires Blvd
Suite 100
The Villages, FL 32159-6825
Phone (352) 753-2812
1905 Clint Moore Rd
Suite 103
Boca Raton, FL 33496-2659
Phone (561) 241-4474
Hospital & facility affiliations
- Cape Coral Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104823 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474
5041 Pine Island Rd NW
Bokeelia, FL 33922
Phone (239) 282-0367
10700 Stringfellow Rd
Ste 40
Bokeelia, FL 33922
Phone (239) 282-0367
632 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 829-7102
316 Del Prado Blvd S
Ste 201
Cape Coral, FL 33990
Phone (239) 829-7102
26344 US Highway 19 N
Clearwater, FL 33761
Phone (727) 669-3676
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
- Dermatopathology Physician
- Delray Beach, FL
- NPI 1528226081
-
- Dermatology Physician
- Orlando, FL
- NPI 1316105885
-
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1184860488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 STRINGFELLOW RD",
"address_2": "SUITE 40",
"city": "BOKEELIA",
"state": "FL",
"postal_code": "339223232",
"telephone_number": "239-282-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 DEL PRADO BLVD S",
"address_2": "SUITE 201",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339901710",
"telephone_number": "239-829-7102",
"fax_number": "239-829-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "STEPHANIE",
"middle_name": "FERN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9104823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.