Raquel Stelzer, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN11017163 Issued in FL

Practice address

1631 Race Track Rd
#101
Fruit Cove, FL 32259

Phone

(904) 230-7977

Fax

(904) 230-7979

NPI assigned

Jan 3, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCFAAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates of Julington Creek

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1235276254
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1003529173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ANTIGUA WAY",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821201",
            "telephone_number": "321-501-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 RACE TRACK RD",
            "address_2": "#101",
            "city": "FRUIT COVE",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "904-230-7977",
            "fax_number": "904-230-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELZER",
        "first_name": "RAQUEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11017163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayward Brett Minter, LPN
• Carol Elizabeth Neumann
• Ross Quinn Osborn, M.D.
• Ped-E-Care
• Madison Stalls, DNP
• Michaele Bailey Suarez, DC
• The Playful Family, Inc.
• Lisa D Vargo, LCSW
• Wal-Mart Stores East LP
• Alyssa Carmela Walker, OTR/L

• All providers in Fruit Cove, FL
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.