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STEPHAN AMBROSE
NPI 1356047104
Physician Assistant in Miramar, FL

Active since February 03, 2023PECOS Enrolled
5024 SW 155TH TER, MIRAMAR, FL 33027(754) 204-4701 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Feb 3, 2023 (2 updates tracked since 2023).

About Stephan Ambrose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHAN AMBROSE (NPI 1356047104) is an individual physician assistant in Miramar, Florida, licensed in Florida (9120439) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rockingham, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356047104
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHAN AMBROSE
Location Address5024 SW 155TH TERMiramar, FL 33027-5644
Mailing Address5024 Sw 155th TerMiramar, FL 33027-5644 · (754) 204-4701
Phone(754) 204-4701
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 3, 2023
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1356047104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9120439
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0110011203 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5024 SW 155TH TER, Miramar, FL 33027
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Other Names 1

Other Name (5)Stephan Thomas Ambrose

Secondary Practice Location 1

Location 12275 Health Campus Dr Ste 1Rockingham, VA 22801-8809 · Phone (540) 689-4707 · Fax (833) 813-0346

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephan Ambrose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628569043
PECOS Enrollment IDI20251113003247
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephan Ambrose's NPI number?

The NPI number for Stephan Ambrose is 1356047104. It was assigned to this individual provider in the NPPES registry on February 3, 2023. The provider is also known as Stephan Thomas Ambrose.

Where is Stephan Ambrose located?

Stephan Ambrose practices at 5024 SW 155th Ter, Miramar, FL 33027. The listed phone number is (754) 204-4701.

What is Stephan Ambrose's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephan Ambrose enrolled in Medicare?

Yes. Stephan Ambrose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephan Ambrose was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.