NPIMap

Individual provider Active NPI

Paula J Earp, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1265499768
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111832 Issued in FL
Practice address
10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone
(813) 259-1013
Fax
(813) 254-0396
NPI assigned
Apr 27, 2006
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 PA9111832 FL Primary

Addresses

Primary practice location

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727

Mailing address

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone (813) 259-1013

Other identifiers 1

IdentifierTypeStateIssuer
41966200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404000297 FL Practitioner - Physician Assistant 9335295468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluestone Physician Services Southeast LLCGroup PAC ID 9739086257, 25 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

10150 Highland Manor Dr
Suite 205
Tampa, FL 33610-9727
Phone (813) 259-1013

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1550WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Physician Services Southeast LLC CurrentSince Jan 21, 2019 Accepting new patients

Locations

10150 Highland Manor Dr
Ste 205
Tampa, FL 33610
Phone (813) 259-1013

10150 Highland Manor Dr
Ste 240
Tampa, FL 33610
Phone (813) 259-1013

270 Main St N
Ste 300
Stillwater, MN 55082
Phone (651) 342-1039

Organizations & group practices 2

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 6

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1265499768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109727",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109727",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARP",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41966200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.