Stephan Ambrose

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9120439 Issued in FL

Practice address

5024 SW 155TH Ter
Miramar, FL 33027-5644

Phone

(754) 204-4701

NPI assigned

Feb 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stephan Thomas Ambrose Other name

Medicare fee-for-service enrollment

Enrolled in VA

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sambrose1083499@direct.sentara.net

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.

• RMH Medical Group LLC

  • General Practice Physician
  • Rockingham, VA
  • NPI 1669844908
  Medicare reassignment NPD
• RMH Medical Group LLC

  • Customized Equipment (DME)
  • Harrisonburg, VA
  • NPI 1043238967
  NPD

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1356047104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 SW 155TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275644",
            "telephone_number": "754-204-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 SW 155TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275644",
            "telephone_number": "754-204-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 Health Campus Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018809",
            "country_code": "US",
            "telephone_number": "540-689-4707",
            "fax_number": "833-813-0346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "STEPHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120439",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0110011203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHAN",
            "last_name": "AMBROSE",
            "middle_name": "THOMAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amandas' Place
• Claudia Amaro Negrin
• Sonays Alexis Amaya, SRNA
• Ambassador Home Health Services, Inc.
• Maria Amboage
• Symone Meshea Ambrose, APRN
• American Behavioral Solutions, LLC
• American Care Inc.
• American Care of South Florida, Inc.
• American First Medical LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.