Individual provider Active NPI

Stephanie Mirsky, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1881178770
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111558 Issued in FL
Practice address
1318 N Mills Ave
Orlando, FL 32803-2543
Phone
(407) 901-0058
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111558 FL Primary

Addresses

Primary practice location

1318 N Mills Ave
Orlando, FL 32803-2543

Mailing address

1318 N Mills Ave
Orlando, FL 32803-2543
Phone (407) 315-1089

Other practice location 1

3191 E Semoran Blvd
Apopka, FL 32703-5943
Phone (407) 788-6500

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
I20190207001682 FL Practitioner - Physician Assistant 9638320096 Reassigns benefits to 11 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9111558FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Hunt Club Medical PLC PastSince Jan 4, 2005 Accepting new patients
Quality Primary Care P a Past Accepting new patients
Guidewell Emergency Medicine Doctors, LLC PastSince Apr 6, 2025 Accepting new patients
Southwest Volusia Healthcare Corporation Past Accepting new patients

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBBAA

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1881178770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032543",
            "telephone_number": "407-315-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032543",
            "telephone_number": "407-901-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3191 E Semoran Blvd",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327035943",
            "country_code": "US",
            "telephone_number": "407-788-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRSKY",
        "first_name": "STEPHANIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.