Individual provider Active NPI

Sean Stevens-Ferguson, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1467307991
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121380 Issued in FL
Practice address
10025 E Colonial Dr
Orlando, FL 32817-4329
Phone
(407) 382-4218
Fax
(407) 380-3228
NPI assigned
Mar 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9121380 FL Primary

Addresses

Primary practice location

10025 E Colonial Dr
Orlando, FL 32817-4329

Mailing address

10025 E Colonial Dr
Orlando, FL 32817-4329
Phone (407) 382-4218

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
I20260429004364 FL Practitioner - Physician Assistant 8820565567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10025 E Colonial Dr
Orlando, FL 32817-4329

6000 Metrowest Blvd
Suite 110
Orlando, FL 32835-7629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9121380FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Health, Inc. CurrentSince Apr 27, 2026 Accepting new patients

Locations

10025 E Colonial Dr
Orlando, FL 32817
Phone (407) 382-4218

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1467307991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174329",
            "telephone_number": "407-382-4218",
            "fax_number": "407-380-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174329",
            "telephone_number": "407-382-4218",
            "fax_number": "407-380-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS-FERGUSON",
        "first_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.