MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) – Physician Assistant, NPI 1861812018

MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9110403 (FL). The NPI Number for MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) is 1861812018

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE JOY FIESTA MARTIN (PA-C)
NPI
1861812018
Phone
Not provided
Address
PO BOX 1289
Enumeration Date
25 April 2014
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138444300
Graduation Year
2014 (12 years ago)
PAC ID
5395002828
Group Practice PAC ID
7416253828
Professional Enrollment ID
I20171207003248
Address ID
FL335114849BR214XXRDXX302
Telehealth
Yes

Contacts

Secure Messaging
smartin111271@direct.tgh.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. STEPHANIE JOY FIESTA MARTIN (PA-C)

  • PO BOX 1289

    TAMPA, FL 336011289

    Phone:

    Type: Mailing

  • 3250 Zemke Ave

    Tampa, FL 336215023

    Phone: (813) 827-9260

    Type: Location

  • 13421 FISHHAWK BLVD

    LITHIA, FL 335473833

    Phone: (813) 844-8600

    Fax: (813) 844-1145

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($99).

Total Amount

$133

General + Research + Ownership

Payments

7

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2017-12-07

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
I20171207003248IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes11392$0
99214Established patient office or other outpatient visit, 30-39 minutes6247$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
90662Influenza vaccine split virus, preservative free1513$0
G0008Administration of influenza virus vaccine1513$0
View full utilization report →

Insurance plans in this area (ZIP 33601)

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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: 7416253828View full group profile

Reviews

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Frequently asked questions

How do payers reference MRS. STEPHANIE JOY FIESTA MARTIN (PA-C)?
For MRS. STEPHANIE JOY FIESTA MARTIN (PA-C), use NPI 1861812018 as the unique 10-digit identifier.
Would MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) appear as active to a payer?
You can treat MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. STEPHANIE JOY FIESTA MARTIN (PA-C)?
MRS. STEPHANIE JOY FIESTA MARTIN (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) registered?
Use Tampa, Florida as the headline location for MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) here.
When was this NPI issued?
Enumeration for MRS. STEPHANIE JOY FIESTA MARTIN (PA-C) is noted as April 25, 2014 where the registry provides it.

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