Rebecca J Tae, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117828 Issued in FL

Practice address

9332 State Road 54 Ste 405
Trinity, FL 34655-1810

Phone

(727) 375-8264

NPI assigned

May 4, 2019

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

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Optimum HealthCare HMO Network
• Freedom Health HMO Network
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: rtae1435662@nychhc.direct-ci.com
• Direct secure messaging: rebecca.tae@hca4.eclinicaldirectplus.com

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.

• West Florida Cardiology Network, LLC

  dba The Heart Institute

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1801198023
  Medicare reassignment Care Compare group
• Cardiology Consultants

  dba Heart & Vascular Institute of Florida - South Pinellas

  • Specialist
  • St Petersburg, FL
  • NPI 1811940802
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Port Richey Hospital Inc

  dba HCA Florida Trinity Hospital

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1740845817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 405",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-375-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 405",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-375-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAE",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Clinical Lab LLC
• Kristen Renee Suraci
• Surgical Specialists of Trinity, PA
• Brandon Tyler Szakacs, DO
• T. Subramanian MD PA
• Tesa Taju, PMHNP
• Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)
• Tampa Bay Psychiatry & Sleep Disorders, PLLC
• Tampa Bay Psychiatry & Sleep Disorders, PLLC
• Tampa General Medical Group Inc (TGMG Trinity)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.