Stacyann Stephens

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP11030019 Issued in FL

Practice address

2626 Florencia PL
Melbourne, FL 32940-7697

Phone

(305) 338-5141

NPI assigned

Dec 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1013786581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 FLORENCIA PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407697",
            "telephone_number": "305-338-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 FLORENCIA PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407697",
            "telephone_number": "305-338-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 S Harbor City Blvd Ste 610",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329015591",
            "country_code": "US",
            "telephone_number": "321-434-3131",
            "fax_number": "321-722-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "STACYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030019",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP11030019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "XQ876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen E Nassar Psy D LCSW P a
• Stephen Hornell, MD, PA
• Stephen M Giorgianni DO PLLC
• Stephen T. Ruso, D.D.S., M.S., P.L.L.C.
• Brent Stephens, MD
• William Goes Stephens, M.D.
• Jessica Stephenson
• Courteney Stepnicka
• Michelle Sterling
• Charles A Stern, MD

• Primary Care Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.

Verify at the official NPI Registry.