Individual provider Active NPI

Stela Karkatselos, APRN, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, FL
National Provider Identifier
1295342277
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009330 Issued in FL
Practice address
30115 State Road 52 Ste 101
San Antonio, FL 33576-8243
Phone
(813) 467-4244
NPI assigned
Sep 24, 2020
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 APRN11009330 FL Primary

Addresses

Primary practice location

30115 State Road 52 Ste 101
San Antonio, FL 33576-8243

Mailing address

30115 State Road 52 Ste 101
San Antonio, FL 33576-8243
Phone (813) 467-4244

Other practice location 1

6340 Fort King Rd
Zephyrhills, FL 33542-2531
Phone (813) 782-6116

Other names 1

  • Ms. Stela Naco Former name

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
I20201119001154 FL Practitioner - Nurse Practitioner 7113347121 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Nov 1, 2023 Accepting new patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince Jun 20, 2022 Accepting new patients
Team Radiology Physicians, PA PastSince May 1, 2021 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

6340 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 782-6116

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1295342277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30115 STATE ROAD 52 STE 101",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335768243",
            "telephone_number": "813-467-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30115 STATE ROAD 52 STE 101",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335768243",
            "telephone_number": "813-467-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6340 Fort King Rd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335422531",
            "country_code": "US",
            "telephone_number": "813-782-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARKATSELOS",
        "first_name": "STELA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELA",
            "last_name": "NACO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, FL

Sources for this page

Verify at the official NPI Registry.