LEAH JACQUELINE STUBBLEFIELD (PA-C) – Medical Physician Assistant, NPI 1073773206

LEAH JACQUELINE STUBBLEFIELD (PA-C) is a healthcare provider. based in St petersburg, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA910479 (FL). The NPI Number for LEAH JACQUELINE STUBBLEFIELD (PA-C) is 1073773206

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
LEAH JACQUELINE STUBBLEFIELD (PA-C)
NPI
1073773206
Phone
(727) 528-6100
Address
2191 9th Ave N Ste 105
Enumeration Date
11 June 2008
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275286100
Graduation Year
2007 (19 years ago)
PAC ID
3173699147
Group Practice PAC ID
7214968791
Professional Enrollment ID
I20080828000192
Address ID
FL337092142ST5880XNXXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for LEAH JACQUELINE STUBBLEFIELD (PA-C)

  • 2191 9th Ave N Ste 105

    St Petersburg, FL 337137147

    Phone: (727) 528-6100

    Fax: (727) 528-7895

    Type: Location

  • 49th Street North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33710, United States

    STE 104

    ST PETERSBURG, FL 337092150

    Phone: (727) 528-6100

    Fax: (727) 528-7895

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($86).

Total Amount

$116

General + Research + Ownership

Payments

4

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080828000192IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33713)

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Provider's Procedures

LEAH JACQUELINE STUBBLEFIELD (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL63048Partial removal of spine bone with release of spinal cord and/or nerves2716

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214968791View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Physician AssistantFL
N E U R O L O G YFL
Orthopedic SurgeryNY
Physician AssistantFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physician AssistantFL

Reviews

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Frequently asked questions

What NPI should I save for LEAH JACQUELINE STUBBLEFIELD (PA-C)?
Save NPI 1073773206 if you need a stable reference for LEAH JACQUELINE STUBBLEFIELD (PA-C).
Is LEAH JACQUELINE STUBBLEFIELD (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize LEAH JACQUELINE STUBBLEFIELD (PA-C)'s specialty in plain language?
Clinically, the directory lists LEAH JACQUELINE STUBBLEFIELD (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is LEAH JACQUELINE STUBBLEFIELD (PA-C)'s primary listing?
We display St Petersburg, Florida because that is what the record indicates for LEAH JACQUELINE STUBBLEFIELD (PA-C).
What if St Petersburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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