STEPHANIE DIEFFENTHALLER – Physician Assistant, NPI 1922643345

STEPHANIE DIEFFENTHALLER is a healthcare provider. based in Winter springs, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9112980 (FL). The NPI Number for STEPHANIE DIEFFENTHALLER is 1922643345

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE DIEFFENTHALLER
NPI
1922643345
Phone
(727) 481-3942
Address
960 ENGLISH TOWN LN APT 312
Enumeration Date
8 November 2019
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
UNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Secondary Phone
7277255060
Graduation Year
2016 (10 years ago)
PAC ID
8022434414
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20200817000412
Address ID
FL337631726CL2461XRDXX301
Telehealth
Yes

Contacts

Secure Messaging
Stephanie.DieffenthallerPC-C@direct.mybaycare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for STEPHANIE DIEFFENTHALLER

  • 960 ENGLISH TOWN LN APT 312

    WINTER SPRINGS, FL 327084680

    Phone: (727) 481-3942

    Type: Mailing

  • 8787 BRYAN DAIRY RD STE 250

    LARGO, FL 337771259

    Phone: (727) 391-6296

    Fax: (813) 635-7940

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $1,692.

Total Amount is formed as General ($1,692) + Research ($0) + Ownership ($0) = $1,692.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: ABBVIE INC. ($392).

Total Amount

$1,692

General + Research + Ownership

Payments

86

Total payment records

General Amount

$1,692

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2020-08-17

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
I20200817000412IPhysician 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 minutes252202$0
99214Established patient office or other outpatient visit, 30-39 minutes10181$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5050$0
81003Automated urinalysis test2929$0
99495Transitional care management services for problem of at least moderate complexity2221$0
View full utilization report →

Insurance plans in this area (ZIP 32708)

Loading plans...

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: 6406753623View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is STEPHANIE DIEFFENTHALLER identified in CMS data?
CMS-hosted NPPES data lists STEPHANIE DIEFFENTHALLER with NPI 1922643345.
Is STEPHANIE DIEFFENTHALLER listed as active for patients and plans?
The listing shows STEPHANIE DIEFFENTHALLER as active in the NPI system.
What taxonomy line describes STEPHANIE DIEFFENTHALLER?
For research purposes, treat STEPHANIE DIEFFENTHALLER as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does STEPHANIE DIEFFENTHALLER serve?
STEPHANIE DIEFFENTHALLER's listing highlights Winter Springs, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

Similar Providers

STEPHANIE LYNNE HAIRE (PA-C)

Physician Assistant
25 W CRYSTAL LAKE ST STE 200
NPI: 1194001867

OLIVIA SIMPSON (PA-C)

Physician Assistant
10729 TIPPECANOE PL
NPI: 1982084950

ROBERT ROTENBERG (PA)

Physician Assistant
555 Martin St
NPI: 1144685207

MEGAN A WILSON (PA-C)

Physician Assistant
696, Vistawilla Drive, Winter Springs, Seminole County, Florida, 32708, United States
NPI: 1700432564

MICHAEL EDMISTON (PHYSICIAN ASSISTANT)

Medical Physician Assistant
2415 N Orange Ave Ste 302
NPI: 1790324549

BRITTANY ALCE (PA-C)

Physician Assistant
444 BLUE BAYOU LN
NPI: 1487273256

MR. NATHAN NEVIL HOWARD (PA-C)

Student in an Organized Health Care Education/Training Program
3365 Burns Rd Ste 203
NPI: 1104449024

VICTORIA LEMONS (PA-C)

Physician Assistant
1340 TUSKAWILLA RD STE 101-105
NPI: 1992563373

BELINDA THUY NGUYEN (PA-C)

Physician Assistant
960 ENGLISH TOWN LN
NPI: 1639975899