Individual provider Active NPI

Stephanie Raposo, APRN

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1184333585
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11023020 Issued in FL
Practice address
7390 NW 5TH St Ste 4
Plantation, FL 33317-1610
Phone
(954) 998-6359
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11023020 FL Primary

Addresses

Primary practice location

7390 NW 5TH St Ste 4
Plantation, FL 33317-1610

Mailing address

5712 SW 115TH Ter
Cooper City, FL 33330-4134
Phone (305) 726-4274

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003710 FL Practitioner - Nurse Practitioner 1658715040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain and Wellness LLCGroup PAC ID 0143575845, 8 clinicians

Practice addresses (Care Compare)

333 NW 70TH Ave
Suite 107
Plantation, FL 33317-2358
Phone (954) 998-6359

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023020FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain and Wellness, LLC CurrentSince Jan 9, 2024 Accepting new patients

Locations

7390 NW 5th St
Ste 4
Plantation, FL 33317
Phone (954) 998-6359

333 NW 70th Ave
Ste 107
Plantation, FL 33317
Phone (954) 581-0200

Organizations & group practices 1

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 2

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1184333585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 SW 115TH TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304134",
            "telephone_number": "305-726-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 NW 5TH ST STE 4",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171610",
            "telephone_number": "954-998-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOSO",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11023020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.