Active NPI
Stephanie Pancratz, ARNP, FNP-BC
- Family Nurse Practitioner
- Maitland, FL
National Provider Identifier
1023446663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9308825
- Practice address
- 500 Winderley PL
Maitland, FL 32751-7247 - Phone
- (407) 875-0555
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9308825 | FL | Primary |
Addresses
Primary practice location
500 Winderley PL
Maitland, FL 32751-7247
Mailing address
500 Winderley PL
Maitland, FL 32751-7247
Phone (407) 875-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1023446663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517247",
"telephone_number": "407-875-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517247",
"telephone_number": "407-875-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCRATZ",
"first_name": "STEPHANIE",
"credential": "ARNP, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9308825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.