MR. CHARLES JACOB JR. STRADER (PAC) – Surgical Physician Assistant, NPI 1891801171

Surgical Physician Assistant

MR. CHARLES JACOB JR. STRADER (PAC) is a healthcare provider. based in Naples, Florida. specializing in Surgical Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA9108754 (TN). The NPI Number for MR. CHARLES JACOB JR. STRADER (PAC) is 1891801171

Main info

Male

37 Years Of Experience

Accepts Medicare Assignment

Name

MR. CHARLES JACOB JR. STRADER (PAC)

NPI

1891801171

Phone

(865) 599-2163

Address

11929 HEATHER WOODS CT

Enumeration Date

21 August 2006

Last Update Date

19 September 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5614407617

Graduation Year

1989 (37 years ago)

PAC ID

5890987085

Group Practice PAC ID

7618966581

Professional Enrollment ID

I20151210000204

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. CHARLES JACOB JR. STRADER (PAC)

11929 HEATHER WOODS CT
NAPLES, FL 34120
Phone: (865) 599-2163
Fax: (865) 694-7907
Type: Mailing
621, Northwest 53rd Street, Boca Raton, Palm Beach County, Florida, 33487, United States
SUITE 330
BOCA RATON, FL 33487
Phone: (800) 488-0279
Fax: (865) 560-8525
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 34120)

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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: 7618966581View full group profile

Name	Specialty	State
AMANDA WEAVER (MMS, PA-C, MS, ATC)	-	FL
ELAINE M FOURNIER (P.A.)	-	FL
MR. OSVALDO BERMUDEZ RODRIGUEZ	-	FL
PAMELA JEAN STOIKE (PAC)	-	NJ
MARINA VARIVODA (PA)	Physician Assistant	FL

Reviews

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Frequently asked questions

How do payers reference MR. CHARLES JACOB JR. STRADER (PAC)?

For MR. CHARLES JACOB JR. STRADER (PAC), use NPI 1891801171 as the unique 10-digit identifier.

Would MR. CHARLES JACOB JR. STRADER (PAC) appear as active to a payer?

You can treat MR. CHARLES JACOB JR. STRADER (PAC) as active for directory purposes; confirm clinical privileges separately.

How would a patient describe MR. CHARLES JACOB JR. STRADER (PAC)'s focus?

For MR. CHARLES JACOB JR. STRADER (PAC), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.

Is MR. CHARLES JACOB JR. STRADER (PAC) associated with Naples?

Public fields place MR. CHARLES JACOB JR. STRADER (PAC) around Naples, Florida. Always confirm the exact site before visiting.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.