Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dennise Staab

Individual provider Physician Assistant · NPI 1548641244

Dennise Staab is a Physician Assistant in Crystal River, Florida. Qualified in 2015, 11 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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Practice location Address checks out

5616 W Norvell Bryant Hwy
Crystal River, FL 34429-7572
Phone: (352) 795-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1548641244
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015
Mailing address918 Hillcrest Rd, Rochester, IL 62563-9223

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crystal River