Individual provider Active NPI

Stephanie Staten, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1164977286
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020811 Issued in OH
Practice address
3000 Arlington Ave
Toledo, OH 43614-2595
Phone
(419) 383-3811
Fax
(419) 383-2918
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008832 NC
Family Nurse Practitioner 363LF0000X APRN.CNP.020811 OH Primary

Addresses

Primary practice location

3000 Arlington Ave
Toledo, OH 43614-2595

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322

Other practice location 1

1200 Ralston Ave
Defiance, OH 43512-9908
Phone (419) 783-6955

Other practice location 2

5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1444

Other practice location 3

501 Van Buren St
Fostoria, OH 44830-1534
Phone (419) 435-7734

Other practice location 4

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 577-0000

Other practice location 5

3125 Transverse Dr Ste M
Toledo, OH 43614-8008
Phone (419) 383-6843

Other practice location 6

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Other practice location 7

2100 W Central Ave Ste 200
Toledo, OH 43606-3817
Phone (567) 420-1600

Other practice location 8

2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7900

Other practice location 9

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 332-7321

Other practice location 10

5700 Monroe St Unit 204B
Sylvania, OH 43560-2735
Phone (567) 585-0675

Other identifiers 1

IdentifierTypeStateIssuer
0244203MedicaidOH

Other names 1

  • Stephanie Blockberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, NM, TX, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20171017002412 OH Practitioner - Nurse Practitioner 5395024459 Reassigns benefits to 2 organizations
I20250206002269 MI Practitioner - Nurse Practitioner 5395024459
I20250822002950 NM Practitioner - Nurse Practitioner 5395024459 Reassigns benefits to 1 organization
I20250822003123 TX Practitioner - Nurse Practitioner 5395024459 Reassigns benefits to 1 organization
I20250831000295 AZ Practitioner - Nurse Practitioner 5395024459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (972) 449-0540

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008832NCMDFamily Nurse Practitioner
APRN.CNP.020811OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Sep 1, 2021 Accepting new patients
Access Telecare, PLLC CurrentSince Jun 18, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2021 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

730 N Macomb St
Monroe, MI 48162
Phone (734) 240-1760

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5700 Monroe St
Unit 204B
Sylvania, OH 43560
Phone (567) 585-0675

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3000 Arlington Ave
Ste 2C
Toledo, OH 43614
Phone (419) 383-3759

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: sstaten24806@direct.utoledo.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1164977286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3811",
            "fax_number": "419-383-2918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Ralston Ave",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435129908",
            "country_code": "US",
            "telephone_number": "419-783-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Harroun Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602168",
            "country_code": "US",
            "telephone_number": "419-824-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Fostoria",
            "state": "OH",
            "postal_code": "448301534",
            "country_code": "US",
            "telephone_number": "419-435-7734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5640 N Adrian Hwy",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492218318",
            "country_code": "US",
            "telephone_number": "517-577-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 Transverse Dr Ste M",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436148008",
            "country_code": "US",
            "telephone_number": "419-383-6843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 N Macomb St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481627815",
            "country_code": "US",
            "telephone_number": "734-240-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 W Central Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063817",
            "country_code": "US",
            "telephone_number": "567-420-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Bay Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164920",
            "country_code": "US",
            "telephone_number": "419-690-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S Taft Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "OH",
            "postal_code": "434203237",
            "country_code": "US",
            "telephone_number": "419-332-7321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Monroe St Unit 204B",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602735",
            "country_code": "US",
            "telephone_number": "567-585-0675",
            "fax_number": "567-585-0676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATEN",
        "first_name": "STEPHANIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008832",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BLOCKBERGER",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.