Individual provider Active NPI

Stephanie Frey, D.P.M.

  • Podiatrist
  • Ocala, FL
National Provider Identifier
1114207974
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3604 Issued in FL
Practice address
2760 SE 17TH St Ste 102
Ocala, FL 34471-5550
Phone
(352) 351-1555
Fax
(352) 351-1330
NPI assigned
Aug 25, 2011
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3604 FL Primary

Addresses

Primary practice location

2760 SE 17TH St Ste 102
Ocala, FL 34471-5550

Mailing address

2111 SE 15TH LN
Ocala, FL 34471-4124
Phone (352) 350-2095

Other practice location 1

13767 N US Highway 441
Lady Lake, FL 32159-8981
Phone (352) 350-2095

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000639 FL Practitioner - Podiatry 0749427136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Podiatry PLLCGroup PAC ID 5799906996, 4 clinicians

Practice addresses (Care Compare)

1500 SE Magnolia Ext
Suite 201
Ocala, FL 34471-4461
Phone (352) 350-2095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue18
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 30, 2015 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 30, 2015 Accepting new patients
Patriot Podiatry PLLC Podiatrist CurrentSince Aug 29, 2014 Accepting new patients

Locations

13767 N US Highway 441
Lady Lake, FL 32159
Phone (352) 350-2095

1500 SE Magnolia Ext
Ste 201
Ocala, FL 34471
Phone (352) 620-2711

2760 SE 17th St
Ste 102
Ocala, FL 34471
Phone (352) 351-1555

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1114207974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SE 15TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714124",
            "telephone_number": "352-350-2095",
            "fax_number": "352-350-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715550",
            "telephone_number": "352-351-1555",
            "fax_number": "352-351-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13767 N US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321598981",
            "country_code": "US",
            "telephone_number": "352-350-2095",
            "fax_number": "352-350-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.