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

Keely M Staten, PA-C

Individual provider Physician Assistant · NPI 1649758004

Keely M Staten, PA-C is a Physician Assistant in Lecanto, Florida. Qualified in 2017, 9 years ago. Practices with Suncoast Skin Solutions, a 99-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

525 N Dacie Pt
Lecanto, FL 34461-8399
Phone: (813) 321-1786
Fax: (813) 321-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112684 (FL)

Record details

NPI number1649758004
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2018
Last updated in NPPESNovember 12, 2022
Certification dateNovember 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Suncoast Skin Solutions — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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