Active NPI
Stephanie R Bennett, PA-C
- Medical Physician Assistant
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9105981
- Practice address
- 5999 Dundee Rd
Suite 750
Winter Haven, FL 33884-1107 - Phone
- (863) 292-4077
- Fax
- (863) 292-4079
- NPI assigned
- Aug 30, 2007
- Last updated
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9105981 | FL | Primary |
Addresses
Primary practice location
5999 Dundee Rd
Suite 750
Winter Haven, FL 33884-1107
Mailing address
PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002
Other names 1
- Stephanie R Melwani
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 578-0033
17000 Porter Rd
Winter Garden, FL 34787-8915
32 W Gore St
Orlando, FL 32806-1134
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 354-1202
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
7301 Stonerock Cir
Orlando, FL 32819
Phone (407) 345-0005
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- sbennett31029@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba St Cloud Regional Medical Center
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1992999270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10744",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337578744",
"telephone_number": "727-532-0002",
"fax_number": "727-266-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 DUNDEE RD",
"address_2": "SUITE 750",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338841107",
"telephone_number": "863-292-4077",
"fax_number": "863-292-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "STEPHANIE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MELWANI",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.