Individual provider Active NPI

Joan Marie Amshel, PA-C,MHS

  • Surgical Physician Assistant
  • Ruskin, FL
National Provider Identifier
1396038444
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 9104494 Issued in FL
Practice address
1046 Cypress Village Blvd
Ruskin, FL 33573-6845
Phone
(813) 633-0081
Fax
(813) 633-0082
NPI assigned
May 24, 2011
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2617 AZ
Surgical Physician Assistant 363AS0400X PA 9104494 FL Primary

Addresses

Primary practice location

1046 Cypress Village Blvd
Ruskin, FL 33573-6845

Mailing address

725 Eagle LN
Apollo Beach, FL 33572-2718
Phone (813) 641-9787

Other practice location 1

2727 W Dr Martin Luther King Jr Blvd Ste 150
Tampa, FL 33607-6003
Phone (813) 357-5900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000871 FL Practitioner - Physician Assistant 9436322658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Surgical Specialists, PLLCGroup PAC ID 0941233258, 4 clinicians

Practice addresses (Care Compare)

1046 Cypress Village Blvd
Sun City Center, FL 33573-6845
Phone (813) 633-0081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2617AZMDRheumatology Physician
2100AZMDPhysical Therapist
PA 9104494FLMDSurgical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1396038444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 EAGLE LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722718",
            "telephone_number": "813-641-9787",
            "fax_number": "813-633-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736845",
            "telephone_number": "813-633-0081",
            "fax_number": "813-633-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 W Dr Martin Luther King Jr Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076003",
            "country_code": "US",
            "telephone_number": "813-357-5900",
            "fax_number": "813-357-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMSHEL",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C,MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2617",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9104494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

Verify at the official NPI Registry.