Active NPI
Stacey Menos
- Physician Assistant
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9119425
- 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
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 | 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119425 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc. | Current | Accepting new patients | |
| Community Health Centers, Inc | Current | Accepting new patients | |
| Community Health Centers, Inc | Current | Accepting new patients | |
| Urban Health Plan, Inc. | Current | Accepting new patients | |
| Urban Health Plan, Inc. | Current | 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
- stacey.menos.1@29651.direct.athenahealth.com
- 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.
-
- Community/Retail Pharmacy
- Apopka, FL
- NPI 1134258684
-
- Internal Medicine Physician
- New Port Richey, FL
- NPI 1003002759
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1265596548
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1396829677
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1710259965
-
- Clinic/Center
- Orlando, FL
- NPI 1932472289
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1386247542
-
- Federally Qualified Health Center (FQHC)
- Winter Garden, FL
- NPI 1275602476
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.