Stacy Sprehe, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7529 Medical Dr
Hudson, FL 34667-6502

Phone

(727) 862-6524

Fax

(727) 862-6439

NPI assigned

Apr 15, 2014

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Florida Id Care LLC

  • Infectious Disease Physician
  • Fort Myers, FL
  • NPI 1245596964
  Medicare reassignment
• SK Raman PA

  • Infectious Disease Physician
  • Fort Myers, FL
  • NPI 1265719405
  Medicare reassignment
• George M Joseph MD PA

  • Psychiatry Physician
  • Jacksonville Beach, FL
  • NPI 1770753311
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1780003913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-862-6524",
            "fax_number": "727-862-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-862-6524",
            "fax_number": "727-862-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPREHE",
        "first_name": "STACY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Center of Excellence, LLC
• Ronald Anthony Spinelle, DO
• Kevin Scott Spires, MD
• Sheila Deck Spires, PH.D.
• Olive Spoeth
• Sprout Together LLC
• SPT Consulting, PLLC
• SS Pasco Community HC LLC
• St. Verena LLC.
• Stadion Inpatient Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.