TATE STOREY (CAA) – Anesthesiologist Assistant, NPI 1386192664

TATE STOREY (CAA) is a healthcare provider. based in Plantation, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. AA341 (FL). The NPI Number for TATE STOREY (CAA) is 1386192664

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
TATE STOREY (CAA)
NPI
1386192664
Phone
(954) 838-2521
Address
7700 W SUNRISE BLVD
Enumeration Date
15 September 2016
Last Update Date
15 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545875010
Graduation Year
2016 (10 years ago)
PAC ID
8426330689
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20170123002698
Address ID
FL333172835PL401XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

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Provider Addresses for TATE STOREY (CAA)

  • Sheridan Healthcorp, Inc., 7700, West Sunrise Boulevard, Sunrise Heights, Plantation, Broward County, Florida, 33322, United States

    PLANTATION, FL 333224113

    Phone: (954) 838-2521

    Type: Location

  • Dimond Street, North Palm Beach Heights, Jupiter, Palm Beach County, Florida, 33458, United States

    JUPITER, FL 334586740

    Phone: (561) 768-1172

    Type: Mailing

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: 2017-01-23

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
I20170123002698IAnesthesiology 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00670Anesthesia for extensive surgery on spine2524$0
00840Anesthesia for other procedure on lower abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 33322)

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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: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

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Frequently asked questions

What is the standard ID for TATE STOREY (CAA) in the U.S.?
In the U.S., TATE STOREY (CAA) is identified by NPI 1386192664.
Quick check: is TATE STOREY (CAA) active?
Public NPPES data shows TATE STOREY (CAA) with an active NPI status right now.
What does the directory say TATE STOREY (CAA) does?
Insurance directories may phrase it differently, but here TATE STOREY (CAA) maps to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit TATE STOREY (CAA) in Plantation, Florida?
For routing, start with Plantation, Florida for TATE STOREY (CAA), then verify phone and hours locally.
Who maintains TATE STOREY (CAA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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