Individual provider Active NPI

Nathan Jerold Diehl, PA

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1992327878
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113328 Issued in FL
Practice address
1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694
Phone
(727) 408-5222
NPI assigned
May 13, 2020
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 PA9113328 FL Primary

Addresses

Primary practice location

1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694

Mailing address

1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694
Phone (727) 408-5222

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
I20200803000736 FL Practitioner - Physician Assistant 4486079803 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1528 Lakeview Rd
Suite 150
Clearwater, FL 33756-3648

1528 Lakeview Rd
Suite 150
Clearwater, FL 33756-3694
Phone (727) 408-5222

6450 38TH Ave N
Suite 320
St Petersburg, FL 33710-1649
Phone (727) 498-8003

8122 118TH Ave
Largo, FL 33773-5012
Phone (727) 202-6963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.12 of 100Reported as group
Quality
83.29
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
58.53 of 100Reported as group
Quality
0
Promoting interoperability
95
Improvement activities
40
Cost
65.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9113328FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Dec 1, 2021 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Advanced Medical of Florida LLC CurrentSince Nov 13, 2023 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

1528 Lakeview Rd
Ste 150
Clearwater, FL 33756
Phone (727) 408-5222

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: nathan.diehl.1@12284.direct.athenahealth.com
  • Direct secure messaging: ndiehl207760@direct.tgh.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1992327878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 LAKEVIEW RD STE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563694",
            "telephone_number": "727-408-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LAKEVIEW RD STE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563694",
            "telephone_number": "727-408-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "NATHAN",
        "middle_name": "JEROLD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.