Stephanie Lynn Ottaviani, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APP-000083964 Issued in DE

Practice address

108 Patriot Dr Ste a
Middletown, DE 19709-8803

Phone

(302) 354-5601

NPI assigned

Sep 18, 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 28, 2025 through May 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allen Health & Wellness LLC

  • Nurse Practitioner
  • Middletown, DE
  • NPI 1457131708
  NPD (past)

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1164259677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WILMORE DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098360",
            "telephone_number": "302-354-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PATRIOT DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098803",
            "telephone_number": "302-354-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANI",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "APP-000083964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimally Vibrant Health & Wellness, LLC
• Josefien Oregan
• Adwoa Marissa Osei Quartey, RN
• Ernest Tawiah Osei-Owusu, LPN
• Osywin Health Care Services LTD
• Oluwatomi Oyegoke, DPT
• George Julius Oyombe
• Madison Page
• Dominic Palmer, PA-C
• Diana Pantano, PT,DPT

• Family Nurse Practitioner in Middletown, DE
• Providers in Middletown, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.