Active NPI
Lanesha Owens, PA-C
- Physician Assistant
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115185
- Practice address
- 500 Vonderburg Dr Ste 102
Brandon, FL 33511-5968 - Phone
- (813) 681-5658
- Fax
- (813) 681-5250
- NPI assigned
- Oct 20, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | PAT9115185 | FL | |
| Physician Assistant | 363A00000X | PA9115185 | FL | Primary |
Addresses
Primary practice location
500 Vonderburg Dr Ste 102
Brandon, FL 33511-5968
Mailing address
500 Vonderburg Dr Ste 102
Brandon, FL 33511-5968
Phone (813) 681-5658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4051 Upper Creek Dr
Suite 112
Sun City Center, FL 33573-6825
Phone (813) 681-5658
500 Vonderburg Dr
Suite 102
Brandon, FL 33511-5968
Phone (813) 681-5658
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9115185 | FL | MD | Physician Assistant |
| PAT9115185 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc | Physician Assistant | Past | Accepting new patients |
Locations
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
8789 San Jose Blvd
Ste 111
Jacksonville, FL 32217
Phone (904) 376-3500
Interoperability endpoints
- lanesha.owens.1@26845.direct.athenahealth.com
- laneshaowens@cm.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Brandon, FL
- NPI 1124038989
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Physician Assistant
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1427239474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1316600893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR STE 102",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115968",
"telephone_number": "813-681-5658",
"fax_number": "813-681-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR STE 102",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115968",
"telephone_number": "813-681-5658",
"fax_number": "813-681-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "LANESHA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PAT9115185",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.