Active NPI
Janet Faith McCabe, PA-C
- Surgical Physician Assistant
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9104602
- Practice address
- 1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543 - Phone
- (863) 687-1250
- Fax
- (863) 687-1258
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9104602 | FL | Primary |
Addresses
Primary practice location
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Mailing address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 284-1611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9104602 | Other | FL | STATE LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24276 166TH Airport Rd
Eagle Butte, SD 57625-1022
Phone 60596477240515
PO Box
Suite 1012
Eagle Butte, SD 57625-1012
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1338 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett County Hospital and Nursing Home | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Adventist Health System/ Sunbelt, Inc. | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Adventist Health System/Sunbelt, Inc. | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650
102 Major Allen St
Martin, SD 57551
Phone (605) 685-6622
Networks
- Freedom Health HMO Network
Organizations & group practices 9
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.
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Critical Access Hospital
- Martin, SD
- NPI 1437187044
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
dba AdventHealth Centra Care - Southern Trace
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
-
dba AdventHealth Centra Care - Winter Garden Village
- Urgent Care Clinic/Center
- Winter Garden, FL
- NPI 1811184831
-
dba LaCreek District Clinic
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
dba Wanblee Health Center
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1750538294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "863-284-1611",
"fax_number": "863-284-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "863-687-1250",
"fax_number": "863-687-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "JANET",
"middle_name": "FAITH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9104602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "PA9104602",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.