Individual provider Active NPI

Wesley Stephen Hardin, P.A.-C

  • Physician Assistant
  • Lakewood Ranch, FL
National Provider Identifier
1598057630
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105991 Issued in FL
Practice address
11505 Palmbrush TRL
Suite 220
Lakewood Ranch, FL 34202-2915
Phone
(941) 747-2090
NPI assigned
May 9, 2011
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006002 MI
Physician Assistant 363A00000X PA9105991 FL Primary
Physician Assistant 363A00000X MED-PAC-LIC-166859 MT

Addresses

Primary practice location

11505 Palmbrush TRL
Suite 220
Lakewood Ranch, FL 34202-2915

Mailing address

11505 Palmbrush TRL Ste 220
Lakewood Ranch, FL 34202-2915
Phone (941) 747-2090

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
I20110715000483 FL Practitioner - Physician Assistant 4880862903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

11505 Palmbrush TRL
Suite 220
Lakewood Ranch, FL 34202-2915
Phone (941) 747-2090

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006002MIMDPhysician Assistant
MED-PAC-LIC-166859MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists CurrentSince Mar 2, 2015 Accepting new patients
Florida Medical Specialists LLC CurrentSince Mar 2, 2015 Accepting new patients
Pinnacle Physician Network, LLC Past Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients
Best Value Healthcare LLC Past Accepting new patients

Locations

11505 Palmbrush Trl
Ste 220
Lakewood Ranch, FL 34202
Phone (941) 747-2090

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1598057630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 PALMBRUSH TRL STE 220",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022915",
            "telephone_number": "941-747-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 PALMBRUSH TRL",
            "address_2": "SUITE 220",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022915",
            "telephone_number": "941-747-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "WESLEY",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006002",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105991",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-166859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.