Individual provider Active NPI

Raven Alexys Coe, MPAS, PA-C

  • Physician Assistant
  • Seffner, FL
National Provider Identifier
1639814577
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAT9115879 Issued in FL
Practice address
4018 Highview Rd
Seffner, FL 33584-5202
Phone
(813) 651-4100
NPI assigned
May 4, 2022
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 PAT9115879 FL Primary

Addresses

Primary practice location

4018 Highview Rd
Seffner, FL 33584-5202

Mailing address

222 SW Lincoln Cir N
St Petersburg, FL 33703-1311
Phone (954) 599-5379

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
I20230501003082 FL Practitioner - Physician Assistant 9830554666 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Pain and Specialty GroupGroup PAC ID 4880070556, 19 clinicians
Advanced Pain Management IncGroup PAC ID 0547350068, 15 clinicians

Practice addresses (Care Compare)

1307 W Kennedy Blvd
Tampa, FL 33606-1848
Phone (813) 893-6000

27810 Summergate Blvd
Wesley Chapel, FL 33544-6919
Phone (813) 388-2948

780 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4252
Phone (386) 671-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PAT9115879FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Advanced Pain Management Inc CurrentSince Jul 18, 2025 Accepting new patients
Advanced Pain Management Inc CurrentSince Jul 18, 2025 Accepting new patients

Locations

325 Clyde Morris Blvd
Ste 400
Ormond Beach, FL 32174
Phone (386) 671-0600

780 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 671-0600

11946 Boyette Rd
Riverview, FL 33569

2805 54th Ave N
St Petersburg, FL 33714
Phone (727) 613-1749

508 S Habana Ave
Ste 360
Tampa, FL 33609
Phone (813) 474-3636

27810 Summergate Blvd
Wesley Chapel, FL 33544
Phone (813) 534-6269

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rcoe280760@direct.tgh.org

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 4

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1639814577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SW LINCOLN CIR N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031311",
            "telephone_number": "954-599-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 HIGHVIEW RD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845202",
            "telephone_number": "813-651-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "RAVEN",
        "middle_name": "ALEXYS",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9115879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

Verify at the official NPI Registry.