Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Keely M Staten, PA-C

Physician Assistant in Lecanto, FL · enumerated 2018 · practices at Suncoast Dermatology and Skin Surgery Center, PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649758004

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Registry record

Entity type Individual (Type 1)

Name Keely M Staten

Credential PA-C

Sex Female

Practice address 525 N Dacie Pt, Lecanto, FL, 34461

Phone (813) 321-1786

Fax (813) 321-1787

Enumeration date Jul 29, 2018

Last updated in NPPES Nov 12, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9112684 (FL) Primary

Other identifiers

Identifier	Type	State	Issuer
106795900	Medicaid	FL	-
PA00357	Other	MS	LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Keely Staten's NPI record?

Cross-check NPI 1649758004 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1649758004 active?

Yes, as of the latest NPPES snapshot, NPI 1649758004 is active (record last updated 2022-11-12).

Other providers at this practice address

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Margaret Collins Dermatology Physician · Lecanto, FL NPI 1073507455 Ralph Massullo MOHS-Micrographic Surgery Physician · Lecanto, FL NPI 1104810563 Brian Bonomo Physician Assistant · Lecanto, FL NPI 1124012596 William Welton MOHS-Micrographic Surgery Physician · Lecanto, FL NPI 1043204365 Suncoast Dermatology and Skin Surgery Center, PA Dermatology Physician · Lecanto, FL NPI 1902890239 Elizabeth Estes Nurse Practitioner · Lecanto, FL NPI 1396794103 Brett Blake Dermatology Physician · Lecanto, FL NPI 1376772707 Patricia Spitzer Physician Assistant · Lecanto, FL NPI 1336489749

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-12.