NPIMap

Individual provider Active NPI

Stanley Joseph, PA

  • Physician Assistant
  • Greenacres, FL
National Provider Identifier
1447857719
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59631 Issued in CA
Practice address
5802 S 37TH CT
Greenacres, FL 33463-3282
Phone
(323) 471-4131
NPI assigned
Oct 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5220718 FL
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA59631 CA Primary

Addresses

Primary practice location

5802 S 37TH CT
Greenacres, FL 33463-3282

Mailing address

5802 S 37TH CT
Greenacres, FL 33463-3282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210715003001 CA Practitioner - Physician Assistant 6204238066 Reassigns benefits to 3 organizations
I20240604004471 TX Practitioner - Physician Assistant 6204238066 Reassigns benefits to 3 organizations
I20250624001602 FL Practitioner - Physician Assistant 6204238066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shands-Solantic Joint Venture LLCGroup PAC ID 4183764178, 18 clinicians

Practice addresses (Care Compare)

3581 SW Archer Rd
Suite 40
Gainesville, FL 32608-2428
Phone (352) 888-4449

720 SW 2ND Ave
Suite 160a
Gainesville, FL 32601-1209
Phone (352) 240-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
96.59 of 100Reported as group
Quality
90.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PN5220718FLMDLicensed Practical Nurse
59631CAMDPharmacist
PA59631CAMDPhysician Assistant

Networks

  • Freedom Health HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1447857719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 S 37TH CT",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 S 37TH CT",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633282",
            "telephone_number": "323-471-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "STANLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5220718",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.