Justin Stoddard Bidwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102405 Issued in FL

Practice address

5880 49TH St N
Suite N-104
St Petersburg, FL 33709-2150

Phone

(727) 528-6100

Fax

(727) 528-7895

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinellas Medical Associates PAGroup PAC ID 7214968791, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

Merit-based Incentive Payment System (MIPS)

Final score

92.49 of 100Reported as group

Quality

77.16

Promoting interoperability

93

Improvement activities

40

Cost

75.33

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jbidwell189344@orlandohealth.medalliesdirect.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.

• Pinellas Medical Associates, PA

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1285765040
  Medicare reassignment Care Compare group
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• Gateway Radiology Consultants, P.a.

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1952747842
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galencare, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1437264256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE N-104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE N-104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2191 9th Ave N Ste 105",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337137147",
            "country_code": "US",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "JUSTIN",
        "middle_name": "STODDARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291591000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U0897Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Y Biance, MD
• Sally V Bibby, LCSW
• Bibex LLC
• Biby Anesthesia LLC
• Cynthia R. Bidwell, P.A.-C
• John Thomas Bienkowski, M.S.- C.C.C.-S.L.P.
• Frances P. Bigelow, OTR/L
• Elizabeth Biggins, RN, MSN, PMHNP-BC
• Jasmine Biggs
• Mirjana Bilanovic

• Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, 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 29, 2021; 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.