NPIMap

Individual provider Active NPI

Stephanie Lynn Vega, MSN, FNP-C

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1073253399
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11019005 Issued in FL
Practice address
313 112TH St E
Bradenton, FL 34212-1631
Phone
(941) 867-0470
Fax
(941) 348-1007
NPI assigned
Apr 1, 2022
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11019005 FL
Family Medicine Physician 207Q00000X APRN11019005 FL Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X APRN11019005 FL

Addresses

Primary practice location

313 112TH St E
Bradenton, FL 34212-1631

Mailing address

313 112TH St E
Bradenton, FL 34212-1631
Phone (941) 867-0470

Other names 1

  • Stephanie Lynn Hutton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426000926 FL Practitioner - Nurse Practitioner 2264829050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Home NP Services of Florida LLCGroup PAC ID 4688045487, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

313 112TH St E
Bradenton, FL 34212-1631
Phone (941) 867-0470

7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019005FLMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Home Primary Care Services, LLC Single Specialty Current Accepting new patients
Home NP Services of Florida LLC Single Specialty CurrentSince Sep 5, 2022 Accepting new patients
Pathway PT LLC Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Be at Home Family Practice LLC Single Specialty CurrentSince Nov 24, 2024 Accepting new patients

Locations

1800 S Tuttle Ave
Ste 1
Sarasota, FL 34239

2888 Ringling Blvd
Unit Cd
Sarasota, FL 34237
Phone (786) 270-6853

Organizations & group practices 4

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 7

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1073253399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 112TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342121631",
            "telephone_number": "941-867-0470",
            "fax_number": "941-348-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 112TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342121631",
            "telephone_number": "941-867-0470",
            "fax_number": "941-348-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019005",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11019005",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "APRN11019005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HUTTON",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.