Individual provider Active NPI

Stephanie Zale Massey, PA-C

  • Medical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1215389481
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109624 Issued in FL
Practice address
625 6TH Ave S Ste 385
St Petersburg, FL 33701
Phone
(727) 553-7100
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109624 FL Primary
Otolaryngology Physician 207Y00000X 9109624 FL

Addresses

Primary practice location

625 6TH Ave S Ste 385
St Petersburg, FL 33701

Mailing address

625 6TH Ave S Ste 385
St Petersburg, FL 33701-4665
Phone (727) 553-7100

Other practice location 1

2946 S Church St
Murfreesboro, TN 37127-8351
Phone (615) 617-6410

Other names 1

  • Stephanie Marie Zale Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170215001746 TN Practitioner - Physician Assistant 8426331588 Reassigns benefits to 2 organizations
I20190115002521 FL Practitioner - Physician Assistant 8426331588 Reassigns benefits to 3 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
Ear, Nose, and Throat Associates of Manatee, PAGroup PAC ID 6406820026, 11 clinicians

Practice addresses (Care Compare)

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8624

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8645
Phone (941) 748-2455

Hospital & facility affiliations

  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9109624FLMDOtolaryngology Physician
3048TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

625 6th Ave S
Ste 385
St Petersburg, FL 33701
Phone (727) 553-7100

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: stephanie.zale@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: szale189371@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1215389481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 385",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014665",
            "telephone_number": "727-553-7100",
            "fax_number": "727-553-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 385",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-553-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2946 S Church St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371278351",
            "country_code": "US",
            "telephone_number": "615-617-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "STEPHANIE",
        "middle_name": "ZALE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109624",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "9109624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ZALE",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.