Individual provider Active NPI

Megan Cecka, PA-C

  • Medical Physician Assistant
  • Brandon, FL
National Provider Identifier
1992001861
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9107337 Issued in FL
Practice address
621 Victoria St
Brandon, FL 33510-4313
Phone
(813) 655-0292
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2643-023 WI
Medical Physician Assistant 363AM0700X 9107337 FL Primary

Addresses

Primary practice location

621 Victoria St
Brandon, FL 33510-4313

Mailing address

621 Victoria St
Brandon, FL 33510-4313
Phone (813) 655-0292

Other identifiers 3

IdentifierTypeStateIssuer
009175700MedicaidFL
2643-023OtherWISTATE LICENSE
1088923OtherWINCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9107337FLMDMedical Physician Assistant
2643-023WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
De Brigard Pediatrics, P.a PastSince Feb 11, 2024 Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics Past Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics PastSince Jun 22, 2021 Accepting new patients
Nadal Pediatrics, LLC PastSince Feb 11, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcecka@nadalpeds.opdirect.net

Organizations & group practices 4

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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1992001861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 VICTORIA ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104313",
            "telephone_number": "813-655-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 VICTORIA ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104313",
            "telephone_number": "813-655-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECKA",
        "first_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2643-023",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9107337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009175700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2643-023",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1088923",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.