Individual provider Active NPI

Luanne C Hespeler, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1366527822
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115234 Issued in FL
Practice address
3950 3Rd St N Ste a
St Petersburg, FL 33703-6123
Phone
(727) 821-0612
Fax
(727) 822-5507
NPI assigned
Oct 25, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06015 NC
Physician Assistant 363A00000X 000177 CT
Physician Assistant 363A00000X PA9115234 FL Primary

Addresses

Primary practice location

3950 3Rd St N Ste a
St Petersburg, FL 33703-6123

Mailing address

PO Box 23329
New York, NY 10087-3329
Phone (410) 873-8500

Other practice location 1

10931 Raven Ridge Rd Ste 101
Raleigh, NC 27614-6499
Phone (919) 870-6600

Other practice location 2

800 Springfield Commons Dr
Raleigh, NC 27609-8532
Phone (919) 876-3656

Other practice location 3

4201 Lake Boone Trl Ste 200
Raleigh, NC 27607-7511
Phone (919) 782-2152

Other practice location 4

13770 Plantation Rd # 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011

Other practice location 5

501 Health Park Dr Ste 150
Garner, NC 27529-7051
Phone (919) 772-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081203000277 CT Practitioner - Physician Assistant 4981765435 Reassigns benefits to 1 organization
I20250225000231 FL Practitioner - Physician Assistant 4981765435 Reassigns benefits to 2 organizations
I20260106003106 NC Practitioner - Physician Assistant 4981765435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

10931 Raven Ridge Rd
Suite 101
Raleigh, NC 27614-6499
Phone (919) 870-6600

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

13770 Plantation Rd
Suite 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011

16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115234FLMDPhysician Assistant
0010-06015NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC CurrentSince May 25, 2025 Accepting new patients
Audrey F. Echt, MD, PA CurrentSince Nov 17, 2025 Accepting new patients
Southern Dermatology, P.a. CurrentSince Nov 17, 2025 Accepting new patients
Anesthesia Associates of New London, PC PastSince Dec 9, 2019 Accepting new patients
Academic Alliance in Dermatology, PLLC PastSince Jun 6, 2021 Accepting new patients
Raleigh Dermatology Associates PA PastSince Apr 21, 1994 Accepting new patients
L&M Physician Association, Inc Past Accepting new patients
Eric R. Wolf, M.D., P.C. Past Accepting new patients
Associated Specialists of Southeastern Connecticut, Inc. Past Accepting new patients
Academic Alliance in Dermatology, PLLC PastSince Apr 27, 2025 Accepting new patients
Academic Alliance in Dermatology, PLLC PastSince Jun 15, 2021 Accepting new patients
Knoxville Dermatology Group PC PastSince Jul 1, 2004 Accepting new patients
Azalea Skin Treatment Center PA PastSince Sep 27, 2004 Accepting new patients
Academic Alliance in Dermatology, PLLC PastSince Jun 15, 2021 Accepting new patients
Oncology & Hematology Associates, PC Past Accepting new patients
Academic Alliance in Dermatology, PLLC PastSince Jun 15, 2021 Accepting new patients

Locations

3950 3rd St N
Ste A
St Petersburg, FL 33703
Phone (727) 821-0612

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

501 Health Park Dr
Ste 150
Garner, NC 27529
Phone (919) 772-3487

10931 Raven Ridge Rd
Ste 101
Raleigh, NC 27614
Phone (919) 870-6600

4201 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 782-2152

800 Springfield Commons Dr
Ste 115
Raleigh, NC 27609
Phone (919) 876-3656

123 Fox Rd
Knoxville, TN 37922
Phone (865) 342-5811

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1366527822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329",
            "telephone_number": "410-873-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 3RD ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337036123",
            "telephone_number": "727-821-0612",
            "fax_number": "727-822-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10931 Raven Ridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276146499",
            "country_code": "US",
            "telephone_number": "919-870-6600",
            "fax_number": "919-870-1610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Springfield Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276098532",
            "country_code": "US",
            "telephone_number": "919-876-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Lake Boone Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077511",
            "country_code": "US",
            "telephone_number": "919-782-2152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13770 Plantation Rd # 103",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124460",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Health Park Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275297051",
            "country_code": "US",
            "telephone_number": "919-772-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESPELER",
        "first_name": "LUANNE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06015",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000177",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.