Stephanie Natalie Buckle, APRN/FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11013458 Issued in FL

Practice address

700 W Oak St
Kissimmee, FL 34741-4924

Phone

(813) 458-2518

NPI assigned

Jun 10, 2021

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgewood Physician Services, LLCGroup PAC ID 0446594105, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ridgewood Physician Services, LLC

  • Hospitalist Physician
  • Davenport, FL
  • NPI 1295216034
  Medicare reassignment Care Compare group NPD
• Elemental Living Inc

  • Chiropractor
  • Coral Gables, FL
  • NPI 1205617404

  Family

  Medicare reassignment NPD
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271

  FL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Polk North Inc

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1164099800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 FOREST BEND RD UNIT 308",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462039",
            "telephone_number": "813-458-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "813-458-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLE",
        "first_name": "STEPHANIE",
        "middle_name": "NATALIE",
        "credential": "APRN/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brycar Pediatric Therapy Center, LLC
• Jacqueline Bryce
• Saleh A S a KH Bubishate, MD
• Sharifa Natasha Buchanan
• Robert James Buck III, D.O.
• Devina Budhu, MSN, APRN, FNP-C
• Buenaventura Assisted Living Facility, LLC
• Adriana Mercedes Bueno, MSN, APRN, FNP-BC
• Rodel Bueno
• Samantha Buford, LCSW

• Family Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.