Individual provider Active NPI

Stephanie L Ferrer, MMSPA

  • Surgical Physician Assistant
  • Palm Springs, FL
National Provider Identifier
1659650620
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9106249 Issued in FL
Practice address
4685 S Congress Ave
Suite 201
Palm Springs, FL 33461-4761
Phone
(561) 548-8600
Fax
(561) 548-8650
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9106249 FL Primary

Addresses

Primary practice location

4685 S Congress Ave
Suite 201
Palm Springs, FL 33461-4761

Mailing address

4685 S Congress Ave
Suite 201
Palm Springs, FL 33461-4761
Phone (561) 548-8600

Other identifiers 1

IdentifierTypeStateIssuer
014154100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address STEPHANIE.FERRER@hca4.eclinicaldirectplus.com

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
I20120208000689 FL Practitioner - Physician Assistant 7810154523 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
Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

Practice addresses (Care Compare)

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9106249FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: stephanie.behlmer@hca4.eclinicaldirectplus.com
  • Direct secure messaging: stephanie.ferrer@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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.

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1659650620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 S CONGRESS AVE",
            "address_2": "SUITE 201",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614761",
            "telephone_number": "561-548-8600",
            "fax_number": "561-548-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 S CONGRESS AVE",
            "address_2": "SUITE 201",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614761",
            "telephone_number": "561-548-8600",
            "fax_number": "561-548-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "MMSPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014154100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "STEPHANIE.FERRER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4685 S Congress Ave",
            "address_2": "SUITE 201",
            "city": "Palm Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334614761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.