Keela Ramsey Stanley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9113534 Issued in FL

Practice address

2 Suntree PL
Melbourne, FL 32940-7689

Phone

(321) 253-3944

Fax

(321) 253-4990

NPI assigned

May 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Family Pratice of Suntree and Viera, P.a.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1578751145
  Medicare reassignment
• Sun Valley Family Practice

  • Family Medicine Physician
  • Avondale, AZ
  • NPI 1265696447
  NPD (past)

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1619296589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUNTREE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407689",
            "telephone_number": "321-253-3944",
            "fax_number": "321-253-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUNTREE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407689",
            "telephone_number": "321-253-3944",
            "fax_number": "321-253-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KEELA",
        "middle_name": "RAMSEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD 410",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5107",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Stalnaker, MD
• Nikolay Stamboliyski, MD
• Kellie Standorf
• Matthew Stanford, RBT
• Christian Anthony Staniec, PA-C
• Courtney Stansell
• Jacquelynn Nichole Stansell
• Sabrina Wu Staples, P.A
• Star Internal Medicine and Associates Inc
• Emonie T. Starkes

• Medical Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.