Individual provider Active NPI

Coral Henkel, PA-C

  • Surgical Physician Assistant
  • Oldsmar, FL
National Provider Identifier
1770150666
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9113202 Issued in FL
Practice address
3919 Tampa Rd
Oldsmar, FL 34677-3114
Phone
(727) 203-4339
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 PA9113202 FL Primary

Addresses

Primary practice location

3919 Tampa Rd
Oldsmar, FL 34677-3114

Mailing address

1461 Hunter LN
Clearwater, FL 33764-2404
Phone (774) 573-1759

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CoralHenkelPAC@direct.mybaycare.org Direct

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
I20210722002664 FL Practitioner - Physician Assistant 6204239619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

1305 S Fort Harrison Ave
Suite E
Clearwater, FL 33756-3301
Phone (727) 631-0915

2727 W Dr Martin Luther King Jr Blvd
Suite 320
Tampa, FL 33607-6055
Phone (813) 877-6748

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9113202FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Physician Assistant Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Baycare Medical Group, Inc CurrentSince Oct 13, 2025 Accepting new patients

Locations

1305 S Fort Harrison Ave
Ste E
Clearwater, FL 33756
Phone (727) 631-0615

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1305 S Fort Harrison Ave
Ste D
Clearwater, FL 33756
Phone (727) 441-9444

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2727 W Mlk Blvd
Ste 320
Tampa, FL 33607
Phone (813) 877-6748

Interoperability endpoints

  • Direct secure messaging: coralhenkelpac@direct.mybaycare.org

Organizations & group practices 5

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 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1770150666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 HUNTER LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642404",
            "telephone_number": "774-573-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773114",
            "telephone_number": "727-203-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "CORAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9113202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CoralHenkelPAC@direct.mybaycare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3919 Tampa Rd",
            "city": "Oldsmar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346773114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.