Individual provider Active NPI

Stacey Menos

  • Physician Assistant
  • New Port Richey, FL
National Provider Identifier
1275215006
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119425 Issued in FL
Practice address
6804 Cecelia Dr
New Port Richey, FL 34653-4935
Phone
(727) 232-0644
Fax
(888) 546-0488
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 030279 NY
Physician Assistant 363A00000X PA9119425 FL Primary

Addresses

Primary practice location

6804 Cecelia Dr
New Port Richey, FL 34653-4935

Mailing address

6804 Cecelia Dr
New Port Richey, FL 34653-4935
Phone (727) 232-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20240402000684 NY Practitioner - Physician Assistant 2769820349 Reassigns benefits to 1 organization
I20241218003536 FL Practitioner - Physician Assistant 2769820349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Physician Services IncGroup PAC ID 4688685654, 39 clinicians
Community Health Centers, IncGroup PAC ID 4082515390, 46 clinicians

Practice addresses (Care Compare)

New Port Richey, FL 34653
Phone (727) 232-0644

225 E 7TH St
Apopka, FL 32703-5327
Phone (407) 905-8827

6806 Cecelia Dr
New Port Richey, FL 34653-4935

840 Mercy Dr
Orlando, FL 32808-7820
Phone (407) 905-8827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9119425FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Community Health Centers, Inc CurrentSince Nov 18, 2024 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Urban Health Plan, Inc. CurrentSince Apr 13, 2024 Accepting new patients
Urban Health Plan, Inc. CurrentSince Apr 13, 2024 Accepting new patients
Community Health Center, Inc. Past Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

7900 Forest City Rd
Orlando, FL 32810
Phone (407) 614-5337

840 Mercy Dr
Pine Hills, FL 32808

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

110 S Woodland St
Winter Garden, FL 34787

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

Interoperability endpoints

  • Direct secure messaging: stacey.menos.1@29651.direct.athenahealth.com
  • Direct secure messaging: stacey.menos@chcfl.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1275215006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "727-232-0644",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "727-232-0644",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENOS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030279",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.