Stefan Thomas Hartmann, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111847 Issued in FL

Practice address

7955 Spyglass Hill Rd Ste a
Melbourne, FL 32940-8249

Phone

(321) 751-3389

Fax

(321) 242-2545

NPI assigned

Jan 21, 2019

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

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

Locations

Interoperability endpoints

• Direct secure messaging: stefan.hartmann@517855700779012.direct.elationemr.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.

• Adventist Health System Sunbelt, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610
  Medicare reassignment
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290
  Medicare reassignment
• Adventist Health System/ Sunbelt, Inc.

  dba AdventHealth Centra Care - Southern Trace

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Physician Assistant

  NPD
• Adventist Health System/Sunbelt, Inc.

  dba AdventHealth Centra Care -KIds Winter Park

  • Urgent Care Clinic/Center
  • Winter Park, FL
  • NPI 1194122200

  Physician Assistant

  NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care Melbourne

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1801594858

  Physician Assistant

  NPD

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1861966020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD",
            "address_2": "STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "321-751-3389",
            "fax_number": "321-242-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "321-751-3389",
            "fax_number": "321-242-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMANN",
        "first_name": "STEFAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-21",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard James Harrison Jr., M.D.
• Edward James Hart, LMT
• Daryl Keith Hartley, PA
• Kelly Hartman
• Todd Douglas Hartman
• Lauren Louise Hartnett
• Alexis Hartwig, DC, ATC
• Kimberly Hartzell, M.D.
• Ada Celeste Harvey
• Arianna Harvey, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.