IndividualActive
Mary Stevens, P.A.-C
NPI 1093854895 · Medical Physician Assistant · Pinellas Park, FL
Provider details
- NPI number
- 1093854895
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA1980 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6350 76th Ave North
Clinic Suite
Pinellas Park, FL 33761-3152
Phone: (727) 547-7780
Street-level locationGet directions
Mailing address
3809 Shore Blvd
Oldsmar, FL 34677-5615
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.