Individual provider Active NPI

Stephanie Geraldine Trincado, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1215722053
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9112322 Issued in FL
Practice address
130 Tamiami TRL N Ste 220
Naples, FL 34102-6233
Phone
(239) 312-7800
NPI assigned
Apr 11, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 9112322 FL Primary

Addresses

Primary practice location

130 Tamiami TRL N Ste 220
Naples, FL 34102-6233

Mailing address

3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-3072

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
I20250505000869 FL Practitioner - Physician Assistant 4880111855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9112322FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL CurrentSince May 19, 2025 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince May 19, 2025 Accepting new patients
Neuroscience and Spine Associates PL Physician Assistant Past Accepting new patients

Locations

130 Tamiami Trl N
Ste 220
Naples, FL 34102
Phone (239) 312-7800

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

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.

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": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1215722053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TAMIAMI TRL N STE 220",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026233",
            "telephone_number": "239-312-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINCADO",
        "first_name": "STEPHANIE",
        "middle_name": "GERALDINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.