Individual provider Active NPI

Stephen D. Wright Jr., FNP-BC

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1053901934
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024182489 Issued in VA
Practice address
8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050
Phone
(850) 969-7979
Fax
(850) 476-9352
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024182489 VA Primary

Addresses

Primary practice location

8333 N Davis Hwy FL 4
Pensacola, FL 32514-6050

Mailing address

4508 Grandin Rd SW
Roanoke, VA 24018-1924
Phone (540) 312-5177

Other practice location 1

4508 Grandin Rd SW
Roanoke, VA 24018-1924
Phone (540) 312-5177

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
I20220928003204 FL Practitioner - Nurse Practitioner 1456741388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Physicians LLCGroup PAC ID 3072760891, 12 clinicians

Practice addresses (Care Compare)

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 969-7979

Hospital & facility affiliations

  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Merit-based Incentive Payment System (MIPS)

Final score
97.18 of 100Reported as individual
Quality
92.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024182489VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Physicians, LLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

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

Interoperability endpoints

  • Direct secure messaging: stephen.wright@hca5.eclinicaldirectplus.com

Organizations & group practices 1

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1053901934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181924",
            "telephone_number": "540-312-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N DAVIS HWY FL 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-969-7979",
            "fax_number": "850-476-9352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4508 Grandin Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240181924",
            "country_code": "US",
            "telephone_number": "540-312-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "STEPHEN",
        "middle_name": "D.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024182489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.