Active NPI
Joan Marie Amshel, PA-C,MHS
- Surgical Physician Assistant
- Ruskin, FL
National Provider Identifier
1396038444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA 9104494
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2617 | AZ | MD | Rheumatology Physician |
| 2100 | AZ | MD | Physical Therapist |
| PA 9104494 | FL | MD | Surgical 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.
-
- Colon & Rectal Surgery Physician
- Sun City Center, FL
- NPI 1548305782
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.