Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stefanie Marie Indellicati, PA-C

Individual provider Physician Assistant · NPI 1285188219

Stefanie Marie Indellicati, PA-C is a Physician Assistant in West Palm Beach, Florida. Qualified in 2016, 10 years ago. Practices with Marianne Carroll DO PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
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

603 Village Blvd Ste 201
West Palm Beach, FL 33409-1972
Phone: (561) 964-6664
Fax: (561) 964-8599
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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 PA9109630 (FL)

Record details

NPI number1285188219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Marianne Carroll Do Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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