Wendy H Stevens, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3398 Issued in FL

Practice address

1697 Kings Rd
Ufjp College Park Family Practice Center
Jacksonville, FL 32209-6169

Phone

(904) 389-2251

Fax

(904) 353-4479

NPI assigned

Mar 25, 2006

Sex

Female

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Anil George MD PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1548326242
  Medicare reassignment
• University of Florida Jacksonville Physicians Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1326208695
  Medicare reassignment
• University of Florida Jacksonville Physicians Inc

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1477713741
  NPD
• University of Florida Jacksonville Physicians, Inc.

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1548220239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP PROVIDER ENROLLMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-244-3199",
            "fax_number": "904-244-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1697 KINGS RD",
            "address_2": "UFJP COLLEGE PARK FAMILY PRACTICE CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096169",
            "telephone_number": "904-389-2251",
            "fax_number": "904-353-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "WENDY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2920361-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaphaedra Stevens
• Kathleen Marie Stevens, MSW, LCSW
• Kelly Lane Stevens, LMFT
• Raquel Sade Stevens
• Rebeka Stevens
• Julie Ann Stevenson Kelly, MSW
• Heather Stevenson
• Matthew S Stevenson, MD
• Neil K. Stevenson, DMD
• Richard Allan Stevenson, DDS

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.