Active NPI
Baycare Pasco, Inc.
Doing business as Baycare Hospital Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
National Provider Identifier
1518604693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- BAYCARE PASCO, INC.
- Doing business as
- Baycare Hospital Wesley Chapel
- Practice address
- 4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9216 - Phone
- (813) 914-1000
- Fax
- (813) 914-1913
- NPI assigned
- May 19, 2022
- Last updated
- Mar 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Ann Guy
- Title
- President
- Phone
- (727) 519-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | Primary |
Addresses
Primary practice location
4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9216
Mailing address
2985 Drew St
Clearwater, FL 33759-3012
Phone (727) 281-9077
Other names 1
- BAYCARE HOSPITAL WESLEY CHAPEL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230315000770 | FL | Part A Provider - Hospital | 6901270958 | Practice locations: Wesley Chapel, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1518604693. Details of each certification follow.
Hospital certification: CCN 100362
- Legal name
- BAYCARE PASCO INC
- Doing business as
- BAYCARE HOSPITAL WESLEY CHAPEL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Apr 6, 2023
- Last certification
- Apr 6, 2023
- Beds
- 86
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation
- Incorporated
- Aug 2, 2018 in FL
- Enrollment address
- 4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9216 - Hospital subgroups
- General, Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- Baycare Hospital Wesley Chapel
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2275440 | Baycare Hospital Wesley Chapel | Accreditation | Mar 26, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Baycare Pasco Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Wesley Chapel, FL
- NPI 1205712841
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James Cantonis | Corporate Director | Mar 1, 2023 | |
| Katherine E Cole | Corporate Director | Mar 1, 2023 | |
| Kimberly Guy | Corporate Officer | Nov 22, 2022 | |
| Patricia Shirley | Corporate Director | Mar 1, 2023 | |
| Tracy L Halme | Corporate Director | Mar 1, 2023 | |
| Jorge P Navas | Corporate Director | Mar 1, 2023 | |
| Rena Jade Upshaw-Frazier | Corporate Director | Mar 1, 2023 | |
| Rebecca a. Schulkowski | Contracted Managing Employee | Aug 22, 2022 | |
| Stephanie D Conners | Other | Mar 1, 2023 | |
| Hugh Scott Campbell | Corporate Director | Mar 1, 2023 | |
| Ricardo Colon | Corporate Director | Mar 1, 2023 | |
| Kurt Erickson | Corporate Director | Mar 1, 2023 | |
| Michael Colletti | W-2 Managing Employee | Oct 20, 2025 | |
| Benjamin H Damsker | Corporate Director | Mar 1, 2023 | |
| Rafael Garcia | Corporate Director | Mar 1, 2023 | |
| Cathy P Swanson | Corporate Director | Mar 1, 2023 | |
| Susan Latvala | Corporate Director | Mar 1, 2023 | |
| David William Morrow | Corporate Director | Mar 1, 2023 | |
| Baycare Health System, Inc. | 5% Or Greater Direct Ownership Interest | Aug 2, 2018 | 100% |
| Alan Bomstein | Corporate Director | Mar 1, 2023 | |
| Robert a Burwell | Corporate Director | Mar 1, 2023 | |
| Vincent Ferrara | Corporate Director | Mar 1, 2023 | |
| Charles Osterholt | Corporate Director | Mar 1, 2023 | |
| Yvonne M. Fry | Corporate Director | Mar 1, 2023 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1295700656
Corporate Director
-
- Cardiovascular Disease Physician
- Clearwater, FL
- NPI 1861481368
Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 192
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1083905640
-
- Hospitalist Physician
- Lutz, FL
- NPI 1346699287
-
- Interventional Cardiology Physician
- Land O' Lakes, FL
- NPI 1962766758
Hospital
-
- Interventional Cardiology Physician
- Tampa, FL
- NPI 1235343997
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1518604693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2985 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-281-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 BRUCE B DOWNS BLVD",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335449216",
"telephone_number": "813-914-1000",
"fax_number": "813-914-1913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYCARE PASCO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-19",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A",
"authorized_official_last_name": "GUY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-519-1222"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BAYCARE HOSPITAL WESLEY CHAPEL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BAYCARE HOSPITAL WESLEY CHAPEL",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.