Individual provider Active NPI

Mary Clare Napier, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1881332336
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4505 Gunn Hwy
Tampa, FL 33624-6311
Phone
(813) 925-1903
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 Primary

Addresses

Primary practice location

4505 Gunn Hwy
Tampa, FL 33624-6311

Mailing address

8462 Del Lago Cir Unit 102
Tampa, FL 33614-2777
Phone (407) 754-7926

Other practice location 1

8462 Del Lago Cir Unit 102
Tampa, FL 33614-2777
Phone (407) 754-7926

Other names 1

  • Mary Clare Bougoulias Former name

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
I20221116003065 FL Practitioner - Physician Assistant 4981072253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Herschel Bowman MDGroup PAC ID 3577525682, 2 clinicians

Practice addresses (Care Compare)

5379 Primrose Lake Cir
Tampa, FL 33647-3521
Phone (813) 977-2040

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Dec 1, 2022 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

4505 Gunn Hwy
Tampa, FL 33624
Phone (813) 925-1900

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mbougoulias219224@direct.tgh.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1881332336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8462 DEL LAGO CIR UNIT 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142777",
            "telephone_number": "407-754-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246311",
            "telephone_number": "813-925-1903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8462 Del Lago Cir Unit 102",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142777",
            "country_code": "US",
            "telephone_number": "407-754-7926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAPIER",
        "first_name": "MARY",
        "middle_name": "CLARE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BOUGOULIAS",
            "middle_name": "CLARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.