Stephan Ambrose
NPI 1356047104 · Physician Assistant · Miramar, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephan Ambrose is a Physician Assistant provider in Miramar, FL (NPI 1356047104).
Provider details
- NPI number
- 1356047104
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9120439 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 2275 Health Campus Dr Ste 1Rockingham, VA 22801-8809Phone: (540) 689-4707Fax: (833) 813-0346
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Stephan Ambrose's NPI number?
- Stephan Ambrose's National Provider Identifier (NPI) is 1356047104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephan Ambrose's specialty?
- Stephan Ambrose is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stephan Ambrose located?
- Stephan Ambrose's practice location on file with NPPES is 5024 Sw 155th Ter, Miramar, FL 33027-5644.
- What is Stephan Ambrose's phone number?
- The practice phone number listed in the NPPES registry for Stephan Ambrose is (754) 204-4701.
- Does Stephan Ambrose accept Medicare?
- Stephan Ambrose is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephan Ambrose's NPI active?
- Yes — Stephan Ambrose's NPI (1356047104) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.