Individual provider Active NPI

Jillian Audreya Fawn Stuper, DNP, MSN, FNP-C

  • Family Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1043718521
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9344892 Issued in FL
Practice address
6322 Rowan Rd
New Port Richey, FL 34653-3400
Phone
(727) 777-9355
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9344892 FL Primary

Addresses

Primary practice location

6322 Rowan Rd
New Port Richey, FL 34653-3400

Mailing address

6322 Rowan Rd
New Port Richey, FL 34653-3400
Phone (727) 777-9355

Other practice location 1

14100 Fivay Rd Ste 340
Hudson, FL 34667-7181
Phone (727) 861-0237

Other identifiers 1

IdentifierTypeStateIssuer
P5967MedicaidFL

Other names 1

  • Ms. Jillian Audreya Fawn Strahan I Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jillian@wayfarerclinic.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180309000434 FL Practitioner - Nurse Practitioner 3375804297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

14100 Fivay Rd
Suite 340
Hudson, FL 34667-7181
Phone (727) 861-0237

Hospital & facility affiliations

  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9344892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Trauma Services, LLC CurrentSince Aug 13, 2022 Accepting new patients
Wayfarer Wellness Clinic, LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

14100 Fivay Rd
Ste 340
Hudson, FL 34667
Phone (727) 819-9107

6322 Rowan Rd
New Port Richey, FL 34653
Phone (727) 777-9355

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1043718521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533400",
            "telephone_number": "727-777-9355",
            "fax_number": "800-339-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533400",
            "telephone_number": "727-777-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 Fivay Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677181",
            "country_code": "US",
            "telephone_number": "727-861-0237",
            "fax_number": "855-233-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUPER",
        "first_name": "JILLIAN",
        "middle_name": "AUDREYA FAWN",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9344892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P5967",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian@wayfarerclinic.com",
            "affiliation": "N",
            "endpointDescription": "jillian@wayfarerclinic.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct hippa compliant email",
            "address_1": "6322 Rowan Rd",
            "city": "New Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346533400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "STRAHAN",
            "middle_name": "AUDREYA FAWN",
            "prefix": "MS.",
            "suffix": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.