Individual provider Active NPI

Stefanie Lynn Fox, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Holland, OH
National Provider Identifier
1306407671
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024997 Issued in OH
Practice address
7318 International Dr Ste E
Holland, OH 43528-9560
Phone
(419) 540-8930
Fax
(419) 540-4160
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 APRN.CNP.024997 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024997 OH Primary

Addresses

Primary practice location

7318 International Dr Ste E
Holland, OH 43528-9560

Mailing address

7318 International Dr Ste E
Holland, OH 43528-9560
Phone (419) 540-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO, NH, OR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200110000641 OH Practitioner - Nurse Practitioner 6002241528 Reassigns benefits to 2 organizations
I20250816000051 CO Practitioner - Nurse Practitioner 6002241528 Reassigns benefits to 1 organization
I20251125003935 NH Practitioner - Nurse Practitioner 6002241528 Reassigns benefits to 1 organization
I20260226003872 OR Practitioner - Nurse Practitioner 6002241528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Behavioral Health Services LLCGroup PAC ID 2264502541, 16 clinicians

Practice addresses (Care Compare)

2770 Centennial Rd
Toledo, OH 43617-1829
Phone 4197940567122

Hospital & facility affiliations

  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 9, 2025 Accepting new patients
Comprehensive Behavioral Health Services LLC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Health System Northern PastSince Dec 1, 2019 Accepting new patients
Steven B. Dood, M.D., LLC PastSince Jan 28, 2018 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

2770 Centennial Rd
Toledo, OH 43617
Phone (419) 794-0567

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

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.

Hospital & facility affiliations 1

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306407671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 INTERNATIONAL DR STE E",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289560",
            "telephone_number": "419-540-8930",
            "fax_number": "419-540-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 INTERNATIONAL DR STE E",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289560",
            "telephone_number": "419-540-8930",
            "fax_number": "419-540-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "STEFANIE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024997",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.