Active NPI
Jennifer Pantaleo, PA-C
- Physician Assistant
- Wesley Chapel, FL
National Provider Identifier
1285045401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9107892
- Practice address
- 5801 Argerian Dr
#103
Wesley Chapel, FL 33545-4140 - Phone
- (813) 991-4991
- NPI assigned
- May 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9107892 | FL | Primary |
Addresses
Primary practice location
5801 Argerian Dr
#103
Wesley Chapel, FL 33545-4140
Mailing address
16601 Palm Coast CT
Apt 633
Tampa, FL 33647-2693
Phone (727) 251-9786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150423002006 | FL | Order and Referring Only - Physician Assistant | 3476871450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9107892 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1285045401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 PALM COAST CT",
"address_2": "APT 633",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472693",
"telephone_number": "727-251-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 ARGERIAN DR",
"address_2": "#103",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335454140",
"telephone_number": "813-991-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTALEO",
"first_name": "JENNIFER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-09",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9107892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
- Catherine Urmela Paltoo, M.D.
- Pam Health at Wesley Chapel LLC (PAM Health Rehabilitation Hospital at Wiregrass Ranch)
- Iulietta Panaouris, MA, BCBA, LBA
- Riddhy Panchal, MD
- Vrunda Dilipkumar Panchal
- Gabriel Pantol, MD
- Maryellen Papa
- Teah Pappas, RBT
- Paula Michele Paradis, DPT
- Jean-Paul Parenteau, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.