Jessica Stillman, CAA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

AA559 Issued in FL

Practice address

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603

Phone

(954) 265-5423

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Clark Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Anesthesiology of Florida IncGroup PAC ID 9133390313, 83 clinicians

Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
• West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jclark2264060@direct.trinity-health.org

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.

• Holy Cross Hospital Inc

  • Internal Medicine Physician
  • Ft. Lauderdale, FL
  • NPI 1467401877
  Medicare reassignment Care Compare group NPD
• American Anesthesiology of Florida, Inc

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1679592893

  FL

  Medicare reassignment Care Compare group NPD
• American Anesthesiology Services of Florida, Inc.

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1508318387

  FL

  Medicare reassignment NPD
• American Anesthesiology of Florida, Inc

  • Anesthesiology Physician
  • Sunrise, FL
  • NPI 1760741797
  NPD
• Holy Cross Hospital, Inc

  • Health & Wellness Coach
  • Oakland Park, FL
  • NPI 1063207595
  NPD
• Holy Cross Hospital, Inc

  • Anesthesiology Physician
  • Fort Lauderdale, FL
  • NPI 1487405718
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Hospital Inc

  • Internal Medicine Physician
  • Ft. Lauderdale, FL
  • NPI 1467401877

  Hospital

  Care Compare affiliation
• Holy Cross Hospital Inc

  • General Acute Care Hospital
  • Ft Lauderdale, FL
  • NPI 1639197395
  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1376953125

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1386985190

  Hospital

  Care Compare affiliation
• West Boca Medical Center, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1588697296
  Care Compare affiliation

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1972051803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 NE 39TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086440",
            "telephone_number": "561-543-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-265-5423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Lomas Blvd NE",
            "address_2": "Anesthesiology & Critical Care Medicine",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871062719",
            "country_code": "US",
            "telephone_number": "505-272-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-10-30",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NM",
            "license": "AA2016-005",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CLARK",
            "credential": "CAA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roger H Stewart, M.D.
• Sandrene Anna-Kay Stewart
• Still Mind LLC
• Daniel Scott Still
• Brandon Stillman
• Janna Stimson
• Jenna Stimson, OTR/L
• Celine Stinfort
• Randall K Stockton, D.D.S.
• Mihaela Stoian, LMHC

• Anesthesiologist Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Anesthesiologist Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.