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Madison Stanford , PA-C

Physician Assistant β€’ Gainesville, FL

Active NPI 1144030727 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

3009 Sw Williston Rd
Gainesville, FL 326083928

Call 3522945400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3009 Sw Williston Rd

Gainesville, FL 326083928

Telephone 3522945400
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Gainesville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Florida Clinical Practice Association Inc; Tri Health Family Wellness Center Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Madison Stanford has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Madison Stanford as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gainesville and Florida

435 active clinicians are listed under Physician Assistant with a practice address in Gainesville, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

6.2% of these 435 clinicians have the CMS telehealth indicator.

51% of these 435 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9119255

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
127226300 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250227003359

Enrollment State Jurisdiction

FL

PECOS Control ID

6901326321

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Tri Health Family Wellness Center Llc

4631 Nw 53rd Ave, Gainesville, FL 326533402

Phone: 8137716851

Florida Clinical Practice Association Inc

3009 Sw Williston Rd, Gainesville, FL 326083928

Phone: 3522739400

Tri Health Family Wellness Center Llc

2253 Green Hedges Way, Wesley Chapel, FL 335446969

Phone: 8137716851

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658982

Florida Clinical Practice Association Inc

2001 Sw 13th St, Gainesville, FL 326081532

Phone: 3522658990

Secondary Practice Locations

1600 Sw Archer Rd

Gainesville, FL 326103402

Phone: 3522657906

4631 Nw 53rd Ave Ste 106

Gainesville, FL 326533402

Phone: 8137716851

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Breton Asken , PhD, ATC

Psychologist - Clinical

NPI 1902531353

Doctor of Philosophy (Ph.D.), Certified Athletic Trainer

Dr. Misbah Azeem , MD

Psychiatry & Neurology - Neurology

NPI 1457938987

Doctor of Medicine (M.D.)

Brinda Bhaskar

Psychiatry & Neurology - Neurology

NPI 1386211639
Abigail Corriveau , APRN

Nurse Practitioner - Gerontology

NPI 1366185977

Advanced Practice Registered Nurse

Dr. Jessica Darusz , MD

Psychiatry & Neurology - Neurology

NPI 1003445180

Doctor of Medicine (M.D.)

Dr. Jessica Frey , MD

Psychiatry & Neurology - Neurology

NPI 1184086761

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2025

Physician Assistant (license number reported to NPPES: FL PA9119255)

πŸ“
Updated Practice Location June 10, 2025

Registered at 3009 SW WILLISTON RD, GAINESVILLE, FL 326083928 (Tel: 3522945400)

πŸ“
Updated Business Mailing Address June 10, 2025

Registered at PO BOX 100236, GAINESVILLE, FL 326100236 (Tel: 3522735550)

βœ…
NPI Profile Active January 09, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 09, 2025

Registered at 4631 NW 53RD AVE STE 106, GAINESVILLE, FL 326533402 (Tel: 8137716851)

πŸ“
Business Mailing Address (Initial Record) January 09, 2025

Registered at 4631 NW 53RD AVE STE 106, GAINESVILLE, FL 326533402

πŸ‘€
Provider Name / Credentials (Initial Record) January 09, 2025

Recorded as MADISON STANFORD, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration January 07, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144030727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2025
Last Update: November 25, 2025
Sole Proprietor: No

Other Physician Assistants in Gainesville

All Physician Assistants in Gainesville

Mailing Address

Po Box 100236

Gainesville, FL 326100236

Phone: 3522735550

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.