Active NPI
Schenell Thompson, PA-C
- Physician Assistant
- Deland, FL
National Provider Identifier
1225512791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9111723
- Practice address
- 151 Victoria Commons Blvd Ste 102
Deland, FL 32724-7722 - Phone
- (386) 740-4082
- Fax
- (386) 734-8512
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA9111723 | FL | Primary |
Addresses
Primary practice location
151 Victoria Commons Blvd Ste 102
Deland, FL 32724-7722
Mailing address
6800 N Dale Mabry Hwy Ste 186
Tampa, FL 33614-3998
Phone (813) 839-3438
Other practice location 1
5317 Lapis Pl Apt 202
Riverview, FL 33578-4852
Phone (817) 658-3872
Other practice location 2
9930 Jonas Salk Dr Apt 410
Riverview, FL 33578-7445
Phone (817) 658-3872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- schenell.thompson.1@17484.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1225512791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 N DALE MABRY HWY STE 186",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143998",
"telephone_number": "813-839-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 VICTORIA COMMONS BLVD STE 102",
"city": "DELAND",
"state": "FL",
"postal_code": "327247722",
"telephone_number": "386-740-4082",
"fax_number": "386-734-8512"
}
],
"practiceLocations": [
{
"address_1": "5317 Lapis Pl Apt 202",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335784852",
"country_code": "US",
"telephone_number": "817-658-3872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9930 Jonas Salk Dr Apt 410",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335787445",
"country_code": "US",
"telephone_number": "817-658-3872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "SCHENELL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.