Active NPI 1497719538 Individual Practitioner Male Practitioner

John Hazelton Levasseur , PA-C

Physician Assistant - Medical • Stuart, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Levasseur, PA-C is a certified Physician Assistant - Medical practicing in Stuart, FL. With approximately 29 years of clinical experience since completing medical education in 1997, John Levasseur delivers high-quality medical care to the local community at 2601 S KANNER HWY.

John Levasseur is affiliated with Aqua Dermatology Of Florida, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2601 S Kanner Hwy

Stuart, FL 349944622

Telephone 7722192777

Fax 7722190017

Associated Practice Facility / Clinic

🏢 Water's Edge Dermatology, Llc Facility NPI 1871542787

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Stuart, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +15.6 yrs vs City Avg

City Avg: 13.4 Yrs

State Avg: 15.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Stuart, FL (2836 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Levasseur (29 Years) 29 Yrs

Stuart Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,249	428	$14.00	$5.51
99213 Established patient office or other outpatient visit, typically 15 minutes	1,173	865	$191.00	$77.80
17000 Destruction of skin growth	820	594	$142.00	$45.43
11102 Tangential biopsy of single skin lesion	425	358	$209.00	$77.50
17110 Destruction of up to 14 skin growths	324	277	$236.74	$95.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	168	47	$2.00	$0.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	156	$119.00	$48.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$238.00	$96.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	105	$270.00	$110.07
11103 Biopsy of related skin growth, each additional growth	106	84	$105.00	$41.49
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	59	52	$376.00	$146.36
17004 Destruction of precancer skin growth, 15 or more growths	53	42	$352.00	$143.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	30	$30.00	$12.15
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$153.00	$61.11
11900 Injection into skin growth, 1-7 growths	24	22	$122.00	$42.05
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	16	$407.00	$155.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$357.00	$144.62
69100 Biopsy of ear	15	15	$201.00	$62.57
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$398.00	$155.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,820	481	$13.99	$5.71
99213 Established patient office or other outpatient visit, typically 15 minutes	1,108	847	$194.33	$79.09
17000 Destruction of skin growth	882	642	$144.46	$45.91
11102 Tangential biopsy of single skin lesion	451	379	$218.36	$78.75
17110 Destruction of up to 14 skin growths	342	291	$242.40	$98.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	212	51	$3.00	$1.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	180	166	$121.62	$49.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	133	$274.49	$111.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$246.20	$98.80
11103 Biopsy of related skin growth, each additional growth	116	88	$108.64	$44.29
17004 Destruction of precancer skin growth, 15 or more growths	56	48	$367.20	$146.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	51	46	$387.63	$148.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	40	$30.00	$12.30
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	31	$926.31	$365.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	29	$533.00	$108.31
11900 Injection into skin growth, 1-7 growths	24	17	$124.75	$43.16
17111 Destruction of skin growth, 15 or more growths	23	15	$286.00	$116.62
69100 Biopsy of ear	20	20	$210.50	$70.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$362.53	$147.31
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$156.56	$63.69
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	16	$417.75	$170.74
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$448.15	$175.38
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$867.00	$352.74
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$409.09	$167.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,772	461	$13.98	$5.86
99213 Established patient office or other outpatient visit, typically 15 minutes	1,070	821	$198.91	$80.31
17000 Destruction of skin growth	811	583	$142.91	$48.48
11102 Tangential biopsy of single skin lesion	400	350	$223.00	$82.63
17110 Destruction of up to 14 skin growths	277	244	$244.00	$98.89
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	172	54	$4.00	$1.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$247.00	$100.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	140	$121.00	$50.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	100	$282.00	$112.85
17004 Destruction of precancer skin growth, 15 or more growths	81	61	$359.00	$149.63
11103 Biopsy of related skin growth, each additional growth	78	61	$115.00	$45.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	44	39	$388.00	$156.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	28	$31.00	$12.53
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	38	35	$954.00	$377.61
11900 Injection into skin growth, 1-7 growths	31	30	$123.00	$47.21
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$160.00	$64.01
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	26	$544.00	$113.81
69100 Biopsy of ear	14	13	$217.00	$65.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$370.00	$142.14
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$452.00	$170.43
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$411.00	$155.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,439	437	$18.95	$5.70
99213 Established patient office or other outpatient visit, typically 15 minutes	1,085	823	$130.51	$81.68
17000 Destruction of skin growth	800	585	$127.17	$47.52
11102 Tangential biopsy of single skin lesion	427	355	$212.86	$84.98
17110 Destruction of up to 14 skin growths	271	222	$195.30	$99.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	205	183	$83.87	$50.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	166	64	$26.34	$1.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	154	$192.40	$116.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$205.61	$100.97
11103 Biopsy of related skin growth, each additional growth	99	83	$115.00	$47.53
17004 Destruction of precancer skin growth, 15 or more growths	73	59	$388.59	$148.71
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	56	42	$298.75	$147.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	31	$34.20	$12.55
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$136.20	$65.76
11900 Injection into skin growth, 1-7 growths	38	33	$93.53	$46.66
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	28	$420.07	$112.28
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	27	$779.52	$394.07
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	22	$330.55	$166.27
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	13	$710.14	$368.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$292.00	$151.63
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$353.79	$179.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$943.43	$434.88
69100 Biopsy of ear	11	11	$197.36	$73.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,459	431	$21.00	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	983	728	$106.00	$67.10
17000 Destruction of skin growth	794	568	$122.00	$45.61
11102 Tangential biopsy of single skin lesion	533	451	$210.00	$84.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	285	244	$78.00	$40.96
17110 Destruction of up to 14 skin growths	213	178	$177.00	$99.44
11103 Biopsy of related skin growth, each additional growth	157	124	$115.00	$48.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	139	$167.00	$97.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$198.00	$96.89
17004 Destruction of precancer skin growth, 15 or more growths	95	73	$399.00	$142.16
99202 New patient office or other outpatient visit, typically 20 minutes	92	92	$132.00	$68.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	81	52	$24.44	$1.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	61	52	$269.00	$136.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	46	$375.00	$111.95
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	39	36	$724.00	$390.25
11900 Injection into skin growth, 1-7 growths	33	28	$91.00	$44.44
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	24	$680.00	$356.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	22	$35.00	$12.23
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	25	22	$299.00	$159.47
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	22	$327.00	$178.63
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	20	$293.00	$157.06
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	13	$935.00	$433.38
17111 Destruction of skin growth, 15 or more growths	12	11	$201.00	$117.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,709	441	$21.00	$5.18
99213 Established patient office or other outpatient visit, typically 15 minutes	914	685	$106.00	$65.90
17000 Destruction of skin growth	856	587	$122.00	$45.26
11102 Tangential biopsy of single skin lesion	632	508	$210.00	$82.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	334	271	$78.00	$40.08
11103 Biopsy of related skin growth, each additional growth	205	141	$115.00	$47.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	178	$167.00	$96.55
17110 Destruction of up to 14 skin growths	171	146	$177.00	$95.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$198.00	$97.24
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$132.00	$68.14
17004 Destruction of precancer skin growth, 15 or more growths	81	60	$399.00	$137.43
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	73	58	$269.00	$147.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	55	$22.66	$1.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	55	51	$375.00	$112.89
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	52	49	$724.00	$392.05
11900 Injection into skin growth, 1-7 growths	39	34	$91.00	$44.11
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	36	33	$680.00	$363.64
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	31	27	$299.00	$152.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	24	$35.00	$14.72
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	23	$327.00	$183.54
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	22	$293.00	$153.48
11104 Punch biopsy, first skin growth	17	17	$260.00	$101.54
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	13	$298.00	$80.94
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	13	$935.00	$437.97
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$417.00	$129.49
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$399.00	$116.93
69100 Biopsy of ear	11	11	$193.00	$88.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,359	406	$21.00	$4.79
99213 Established patient office or other outpatient visit, typically 15 minutes	857	641	$106.00	$63.89
17000 Destruction of skin growth	736	526	$122.00	$43.06
11100 Biopsy of single growth of skin and/or tissue	689	563	$159.00	$88.02
11101 Biopsy of each additional growth of skin and/or tissue	268	194	$58.00	$29.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	268	219	$78.00	$38.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	203	203	$198.00	$95.80
17110 Destruction of up to 14 skin growths	171	139	$177.00	$97.32
99202 New patient office or other outpatient visit, typically 20 minutes	120	120	$132.00	$65.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	95	$167.00	$93.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	94	75	$24.68	$1.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	72	67	$375.00	$111.40
17004 Destruction of precancer skin growth, 15 or more growths	66	57	$399.00	$129.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	62	53	$724.00	$383.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	53	46	$269.00	$143.83
11900 Injection into skin growth, 1-7 growths	50	43	$91.00	$42.56
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	44	42	$680.00	$343.04
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	36	30	$327.00	$165.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	29	$35.00	$17.82
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	26	$293.00	$153.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	17	$935.00	$428.38
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	15	$298.00	$98.56
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$417.00	$128.26
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$399.00	$115.48
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	11	$299.00	$164.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,298	367	$21.00	$5.09
99213 Established patient office or other outpatient visit, typically 15 minutes	773	563	$106.00	$63.97
17000 Destruction of skin growth	662	473	$122.00	$43.21
11100 Biopsy of single growth of skin and/or tissue	598	472	$159.00	$86.34
11101 Biopsy of each additional growth of skin and/or tissue	272	180	$58.00	$29.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	208	181	$78.00	$38.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	188	66	$25.00	$1.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	182	182	$198.00	$95.81
99202 New patient office or other outpatient visit, typically 20 minutes	122	122	$132.00	$65.21
17110 Destruction of up to 14 skin growths	97	86	$177.00	$95.94
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	66	57	$680.00	$353.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	63	$167.00	$93.97
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	60	52	$724.00	$372.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	58	49	$375.00	$108.93
17004 Destruction of precancer skin growth, 15 or more growths	54	45	$399.00	$133.70
11900 Injection into skin growth, 1-7 growths	46	38	$91.00	$37.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	46	38	$269.00	$135.00
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	37	34	$935.00	$427.32
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	33	$298.00	$78.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	31	$35.00	$20.72
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	23	$293.00	$141.80
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	19	$327.00	$173.95
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	21	$476.00	$122.00
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	17	$399.00	$114.67
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	17	15	$299.00	$160.97
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$417.00	$126.91

Medical Specialties & State Licenses

CMS Verified: 2021-01-05

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License FL PA3757

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

P00416556 (FL)

Hospital & Practice Group Affiliations

Aqua Dermatology Of Florida, Pa

2601 S Kanner Hwy, Stuart, FL 349944622

Phone: 7722176829

Aqua Dermatology Of Florida, Pa

1400 Se Goldtree Dr, Port St Lucie, FL 349527582

Phone: 7722176551

Aqua Dermatology Of Florida, Pa

1015 Crosspointe Dr, Naples, FL 341100949

Phone: 2395969075

Secondary Practice Locations

4205 W Atlantic Ave

Delray Beach, FL 334453901

Phone: 5614984407

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Peggy Bush , APN

Clinical Nurse Specialist - Adult Health

NPI 1134639438

Advanced Practice Nurse

Dr. John Minni , DO

Dermatology

NPI 1144303009

Doctor of Osteopathic Medicine (D.O.)

Elizabeth Petrell , APRN

Nurse Practitioner - Family

NPI 1477444313

Advanced Practice Registered Nurse

Dr. Stephen Mandy , MD

Dermatology

NPI 1528063112

Doctor of Medicine (M.D.)

Dr. Nayomi Omura , MD

Dermatology

NPI 1710936612

Doctor of Medicine (M.D.)

Sandra Montie , PA-C

Physician Assistant

NPI 1760435986

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location January 05, 2021

Registered at 2601 S KANNER HWY, STUART, FL 349944622 (Tel: 7722192777)

✅

NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2016

Registered at 4205 W ATLANTIC AVE, DELRAY BEACH, FL 334453901 (Tel: 5614984407)

📍

Updated Business Mailing Address March 17, 2016

Registered at 600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 334104543 (Tel: 5616930540)

👤

Provider Name / Credentials Updated March 17, 2016

Recorded as JOHN LEVASSEUR, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Physician Assistant (License #PA3757 in FL)

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Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497719538

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 14, 2006

Last Update: January 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 Village Square Xing

Palm Beach Gardens, FL 334104543

Phone: 5616930540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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