Ben Stephen Abbott, PA-C
Individual provider Active NPI Physician Assistant · Cape Coral, FL
NPI 1891521399 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1891521399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 636 Del Prado Blvd S
Cape Coral, FL 33990-2668 - Phone
- (239) 424-2000
- NPI assigned
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241021003541 | FL | Practitioner - Physician Assistant | 0143752733 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | FL | Yes |
Addresses
Primary practice location
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Mailing address
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone (239) 424-3513
Other providers in Cape Coral, FL
- ABA Time Inc
- ABA USA Therapy LLC
- ABA World Corp.
- Damian Abad
- Martha Lorena Abad
- Melissa Lyn Abbott
- Abbubacca Parkinson, DPM, PA
- Abc Children Behavior LLC
- Ezzeldin Abdellatef
- Jeanne A Abdou
All providers in Cape Coral, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.