Active NPI
Pauline Alexandra Stawinski, PA
- Physician Assistant
- Port St Lucie, FL
National Provider Identifier
1962122168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAT9116322
- Practice address
- 7710 S US Highway 1
Port St Lucie, FL 34952-2320 - Phone
- (724) 467-2097
- Fax
- (772) 200-2131
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAT9116322 | FL | Primary |
Addresses
Primary practice location
7710 S US Highway 1
Port St Lucie, FL 34952-2320
Mailing address
7710 S US Highway 1
Port St Lucie, FL 34952-2320
Phone (724) 467-2097
Other practice location 1
2221 SE Ocean Blvd Ste 200
Stuart, FL 34996-3341
Phone (772) 335-5300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PaulineStawinski@COS.directglo.com | Health Information Exchange (HIE) |
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
Enrollment records 1
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
Practice addresses (Care Compare)
2290 10TH Ave N
Suite 101
Lake Worth, FL 33461-6609
Phone (800) 991-6117
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 69.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9116322 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Colorado Medical Group, PLLC | Past | Accepting new patients | |
| Coastal Orthopaedics & Sports Medicine Center | Past | Accepting new patients | |
| Coastal Orthopaedics & Sports Medicine Center | Past | Accepting new patients |
Locations
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
Interoperability endpoints
- paulinestawinski@cos.directglo.com
- pauline.stawinski@uvvc.eclinicaldirectplus.com
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.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
dba Coastal Orthopaedic & Sports Medicine Center
- Specialist
- Port Saint Lucie, FL
- NPI 1245291988
-
- Specialist
- Stuart, FL
- NPI 1417271578
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1356714638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1962122168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 S US HIGHWAY 1",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349522320",
"telephone_number": "724-467-2097",
"fax_number": "772-200-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 S US HIGHWAY 1",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349522320",
"telephone_number": "724-467-2097",
"fax_number": "772-200-2131"
}
],
"practiceLocations": [
{
"address_1": "2221 SE Ocean Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349963341",
"country_code": "US",
"telephone_number": "772-335-5300",
"fax_number": "772-200-2131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAWINSKI",
"first_name": "PAULINE",
"middle_name": "ALEXANDRA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAT9116322",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PaulineStawinski@COS.directglo.com",
"affiliation": "N",
"endpointDescription": "On site server",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7710 S US Highway 1",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349522320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.