Staci L Capistrano, APRN-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11034041 Issued in FL

Practice address

2169 Snapdragon Dr NW
Palm Bay, FL 32907-7205

Phone

(609) 271-2351

NPI assigned

Jul 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Srinivas Dontineni, MD, PAGroup PAC ID 3375600612, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11690/brand/1/csg/1/fhir/r4

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.

• Srinivas Dontineni MD PA

  dba Brevard Hospitalist Associates

  • Infectious Disease Physician
  • Cocoa, FL
  • NPI 1639323041
  Medicare reassignment Care Compare group NPD
• Indigo Dermatology LLC

  • Specialist
  • Melbourne, FL
  • NPI 1659743094
  Medicare reassignment NPD
• Quality Medical Care PA

  • Interventional Cardiology Physician
  • Melbourne, FL
  • NPI 1114912607
  NPD (past)

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1114755840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 SNAPDRAGON DR NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077205",
            "telephone_number": "609-271-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 SNAPDRAGON DR NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077205",
            "telephone_number": "609-271-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPISTRANO",
        "first_name": "STACI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11034041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cano Health, LLC
• Marianne Cano, MSPT
• Cape Side Dental P a (Capeside Dental)
• Angie Capellan
• Shelby Marie Capistrano, CSLPA
• Elizabeth Carbo
• Kirk Thomas Cardone, RPH
• Caremax Medical Center, LLC
• Caremax Medical Centers of Central Florida, LLC
• Caretenders Visiting Services of District 7, LLC (Mederi Caretenders)

• Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.