STEPHANIE LYNNE HAIRE (PA-C) – Physician Assistant, NPI 1194001867

STEPHANIE LYNNE HAIRE (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. PA9106525 (FL). The NPI Number for STEPHANIE LYNNE HAIRE (PA-C) is 1194001867

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE LYNNE HAIRE (PA-C)
NPI
1194001867
Phone
(407) 254-2500
Address
25 W CRYSTAL LAKE ST STE 200
Enumeration Date
26 October 2011
Last Update Date
26 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075424946
Graduation Year
2011 (15 years ago)
PAC ID
5193982627
Group Practice PAC ID
6406232354
Professional Enrollment ID
I20120605000217
Address ID
FL327086206WI1806XCTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for STEPHANIE LYNNE HAIRE (PA-C)

  • 25 W CRYSTAL LAKE ST STE 200

    ORLANDO, FL 328064476

    Phone: (407) 254-2500

    Fax: (407) 423-2789

    Type: Mailing

  • 1806 TOWN PLAZA CT

    WINTER SPRINGS, FL 327086206

    Phone: (407) 542-4946

    Fax: (407) 695-3674

    Type: Location

  • 1000 W Broadway St Ste 200

    Oviedo, FL 327659277

    Phone: (407) 977-3500

    Fax: (407) 977-1128

    Type: Location

  • 766 N Sun Dr Ste 4000

    Lake Mary, FL 327462554

    Phone: (407) 834-1556

    Fax: (407) 834-2789

    Type: Location

  • 25 W Crystal Lake St Ste 200

    Orlando, FL 328064476

    Phone: (407) 254-2500

    Fax: (407) 423-2789

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $3,914.

Total Amount is formed as General ($3,914) + Research ($0) + Ownership ($0) = $3,914.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,081).

Total Amount

$3,914

General + Research + Ownership

Payments

166

Total payment records

General Amount

$3,914

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2012-06-05

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
I20120605000217IPhysician 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 32806)

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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: 6406232354View full group profile
NameSpecialtyState
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find STEPHANIE LYNNE HAIRE (PA-C)'s NPI?
You can confirm STEPHANIE LYNNE HAIRE (PA-C) with NPI 1194001867; it appears in the national provider directory.
Is STEPHANIE LYNNE HAIRE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEPHANIE LYNNE HAIRE (PA-C)?
The page reflects Physician Assistant for STEPHANIE LYNNE HAIRE (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place STEPHANIE LYNNE HAIRE (PA-C)?
The snapshot lists Orlando, Florida for STEPHANIE LYNNE HAIRE (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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