Active NPI
Stacy Renee Felix, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11027318
- Practice address
- 12629 Hwy 27
Clermont, FL 34711-8588 - Phone
- (859) 325-3059
- NPI assigned
- Jul 10, 2023
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11027318 | FL | Primary |
Addresses
Primary practice location
12629 Hwy 27
Clermont, FL 34711-8588
Mailing address
3455 Countryside Blvd Unit 12
Clearwater, FL 33761-1306
Phone (859) 325-3059
Other practice location 1
3455 Countryside Blvd Unit 12
Clearwater, FL 33761-1306
Phone (859) 325-3059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (813) 369-5969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travel Doctor, PL | Current | Accepting new patients | |
| The Clinicians, LLC | Current | Accepting new patients |
Locations
21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212
10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1013695055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 COUNTRYSIDE BLVD UNIT 12",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611306",
"telephone_number": "859-325-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12629 HWY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118588",
"telephone_number": "859-325-3059"
}
],
"practiceLocations": [
{
"address_1": "3455 Countryside Blvd Unit 12",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337611306",
"country_code": "US",
"telephone_number": "859-325-3059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELIX",
"first_name": "STACY",
"middle_name": "RENEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11027318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.