Individual provider Active NPI

Stacey McCoy, ARNP

  • Family Nurse Practitioner
  • Mount Dora, FL
National Provider Identifier
1285144089
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9294582 Issued in FL
Practice address
18550 US Highway 441
Mount Dora, FL 32757-6751
Phone
(352) 735-3755
Fax
(352) 735-3151
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9294582 FL Primary

Addresses

Primary practice location

18550 US Highway 441
Mount Dora, FL 32757-6751

Mailing address

18550 US Highway 441
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Other practice location 1

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000

Other practice location 2

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

Other practice location 3

4962 SW 99th Pl
Ocala, FL 34476-8632
Phone (352) 300-0359

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
I20180108003195 FL Practitioner - Nurse Practitioner 2163781675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC CurrentSince Nov 28, 2019 Accepting new patients
Physicians of Central Florida, LLC CurrentSince Nov 1, 2017 Accepting new patients
Paragon Contracting Services LLC CurrentSince Feb 1, 2020 Accepting new patients
Physicians of Central Florida PA CurrentSince Nov 1, 2017 Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

  • Direct secure messaging: smccoy562660@direct.shands.ufl.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285144089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321590041",
            "country_code": "US",
            "telephone_number": "352-751-8000",
            "fax_number": "352-751-8611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-323-5762",
            "fax_number": "352-323-3262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4962 SW 99th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344768632",
            "country_code": "US",
            "telephone_number": "352-300-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9294582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.