MRS. STEPHANY CARMONA (PA-C) – Surgical Physician Assistant, NPI 1114712056

MRS. STEPHANY CARMONA (PA-C) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9120020 (FL). The NPI Number for MRS. STEPHANY CARMONA (PA-C) is 1114712056

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANY CARMONA (PA-C)
NPI
1114712056
Phone
(321) 746-3795
Address
13683 TYBEE BEACH LANE
Enumeration Date
11 April 2025
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078464343
Graduation Year
2024 (2 years ago)
PAC ID
8527578178
Group Practice PAC ID
0840366126
Professional Enrollment ID
I20250611003440
Address ID
FL347442316KI2450XTRLX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. STEPHANY CARMONA (PA-C)

  • 13683 TYBEE BEACH LANE

    ORLANDO, FL 328274924

    Phone: (321) 746-3795

    Type: Mailing

  • 14050 TOWN LOOP BLVD STE 204

    ORLANDO, FL 328376190

    Phone: (407) 251-8800

    Type: Location

  • 700 W Oak St

    Kissimmee, FL 347414924

    Phone: (407) 846-2266

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-11

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
I20250611003440IPhysician 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 32827)

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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: 0840366126View full group profile
NameSpecialtyState
Obstetrics/Gynecology, Gynecological OncologyFL
Internal MedicineNY
General SurgeryFL
General SurgeryFL
Plastic And Reconstructive SurgeryFL
General SurgeryFL
O B S T E T R I C S/ G Y N E C O L O G YTX
Internal MedicineFL
Neurology, PsychiatryKY
N E U R O L O G YFL

Reviews

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Frequently asked questions

How is MRS. STEPHANY CARMONA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. STEPHANY CARMONA (PA-C) with NPI 1114712056.
Is MRS. STEPHANY CARMONA (PA-C) still practicing?
MRS. STEPHANY CARMONA (PA-C) is currently listed as active in the public NPI registry.
What is MRS. STEPHANY CARMONA (PA-C)'s primary classification?
Surgical Physician Assistant is the headline specialty for MRS. STEPHANY CARMONA (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is MRS. STEPHANY CARMONA (PA-C) based?
MRS. STEPHANY CARMONA (PA-C) is tied to Orlando, Florida in the data we show; additional addresses may exist on the full record.
Is the information about MRS. STEPHANY CARMONA (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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