Individual provider Active NPI

Stephanie Digirolamo, ARNP-BC

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1073094314
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9361455 Issued in FL
Practice address
167 Silver Glen Ave
Saint Augustine, FL 32092-2468
Phone
(904) 525-1302
NPI assigned
Aug 24, 2018
Last updated
Oct 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9361455 FL
Family Nurse Practitioner 363LF0000X 9361455 FL Primary

Addresses

Primary practice location

167 Silver Glen Ave
Saint Augustine, FL 32092-2468

Mailing address

167 Silver Glen Ave
Saint Augustine, FL 32092-2468
Phone (904) 525-1302

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
I20190122000065 FL Practitioner - Nurse Practitioner 0941547590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9361455FLMDFamily Nurse Practitioner
RN9361455FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 22, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince May 6, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 22, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 6, 2019 Accepting new patients
Paul D Jayachandra M D P a PastSince Oct 22, 2018 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Interoperability endpoints

  • Direct secure messaging: stephanie.digirolamo.1@8967.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1073094314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SILVER GLEN AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922468",
            "telephone_number": "904-525-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 SILVER GLEN AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922468",
            "telephone_number": "904-525-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIROLAMO",
        "first_name": "STEPHANIE",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9361455",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9361455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.