Stephanie M Collins, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102957 Issued in FL

Practice address

3316 3Rd St S
Suite 102
Jacksonville, FL 32250-6073

Phone

(904) 247-4070

Fax

(904) 247-4131

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Allergy and Asthma PAGroup PAC ID 7911922927, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• First Coast Allergy and Asthma PA

  • Allergy & Immunology Physician
  • Jacksonville, FL
  • NPI 1083668511
  Medicare reassignment Care Compare group
• Beaches Ear Nose & Throat

  • Otolaryngology Physician
  • Jacksonville Beach, FL
  • NPI 1144216227
  NPD (past)
• Beaches Ear, Nose and Throat, PA

  • Assistive Technology Practitioner Audiologist
  • Jacksonville Beach, FL
  • NPI 1013391275
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326152182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3217",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320043217",
            "telephone_number": "904-247-4070",
            "fax_number": "904-247-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 3RD ST S",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322506073",
            "telephone_number": "904-247-4070",
            "fax_number": "904-247-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda D Collins, PHD
• Michael Raymond Collins, ARNP
• Rachael Collins
• Robert Ross Collins, PHARMD
• Shirley Ann Collins, CNM, ARNP
• Timothy Collins
• Kristina Lucia Colmenares, PHARM.D
• Kristen Coln
• Liberto Colombo Jr., DO
• Gerardo Colon-Otero, MD

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.