Individual provider Active NPI

Russell B Stapleton, MD

  • Nuclear Cardiology Physician
  • Fernandina Beach, FL
National Provider Identifier
1265498976
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
ME69903 Issued in FL
Practice address
1250 S 18TH St Ste 202
Fernandina Beach, FL 32034-4729
Phone
(904) 261-9786
Fax
(904) 376-3203
NPI assigned
Apr 21, 2006
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME69903 FL
Interventional Cardiology Physician 207RI0011X ME69903 FL
Nuclear Cardiology Physician 207UN0901X ME69903 FL Primary

Addresses

Primary practice location

1250 S 18TH St Ste 202
Fernandina Beach, FL 32034-4729

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 202-2092

Other practice location 1

462626 State Road 200 Ste 103
Yulee, FL 32097-5513
Phone (904) 443-9771

Other identifiers 2

IdentifierTypeStateIssuer
250604100MedicaidFL
060071306OtherFLRAILROAD MEDICARE

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000389 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4981690260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of South Carolina School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

1250 S 18TH St
Suite 202
Fernandina Beach, FL 32034-4729
Phone (904) 261-9786

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69903FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecg Associates of Jacksonville P a CurrentSince Oct 1, 2002 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Southern Heart Group, P.a. Past Accepting new patients
St Vincents Ambulatory Care Inc Past Accepting new patients
Southern Heart Group Cardiovascular Disease Past Accepting new patients
Memorial Ekg Associates Past Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 202-6683

3599 University Blvd S
Ste 1106
Jacksonville, FL 32216
Phone (904) 398-3760

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

820 Prudential Dr
Ste 112
Jacksonville, FL 32207
Phone (904) 396-5996

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

462626 State Road 200
Ste 103
Yulee, FL 32097
Phone (904) 443-9771

Interoperability endpoints

  • Direct secure messaging: rstapleton28133@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1265498976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST STE 202",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344729",
            "telephone_number": "904-261-9786",
            "fax_number": "904-376-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462626 State Road 200 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320975513",
            "country_code": "US",
            "telephone_number": "904-443-9771",
            "fax_number": "904-858-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "RUSSELL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME69903",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME69903",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME69903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250604100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060071306",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.