Individual provider Active NPI

Stephanie Marie Boes, ARNP

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1306494729
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003427 Issued in FL
Practice address
293 E Altamonte Dr Ste 1201
Altamonte Springs, FL 32701-4349
Phone
(407) 439-2317
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 APRN11003427 FL Primary

Addresses

Primary practice location

293 E Altamonte Dr Ste 1201
Altamonte Springs, FL 32701-4349

Mailing address

293 E Altamonte Dr Ste 1201
Altamonte Springs, FL 32701-4349
Phone (716) 491-4026

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
I20200818002460 FL Practitioner - Nurse Practitioner 0143646380 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
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

293 E Altamonte Dr
Suite 1201
Altamonte Springs, FL 32701-4349
Phone (407) 392-3171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11003427FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Jul 27, 2020 Accepting new patients
Infusion Express of Kansas LLC PastSince Jul 27, 2020 Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

4509 Saint Johns Ave
Ste 4
Jacksonville, FL 32210
Phone (904) 339-7334

9734 Deer Lake Ct
Ste 6
Jacksonville, FL 32246
Phone (904) 339-7341

10400 San Jose Blvd
Ste 13
Jacksonville, FL 32257
Phone (904) 339-7331

25930 Sierra Center Blvd
Ste 9
Lutz, FL 33559
Phone (813) 337-0215

10959 W Colonial Dr
Ste 4
Ocoee, FL 34761
Phone (407) 217-9296

7600 Dr Phillips Blvd
Ste 152
Orlando, FL 32819
Phone (407) 315-9537

626 N Alafaya Trl
Ste 107
Orlando, FL 32828
Phone (407) 217-9320

10007 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 331-0513

10314 Causeway Blvd
Tampa, FL 33619
Phone (813) 331-0533

Organizations & group practices 2

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306494729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 E ALTAMONTE DR STE 1201",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014349",
            "telephone_number": "716-491-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 E ALTAMONTE DR STE 1201",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014349",
            "telephone_number": "407-439-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOES",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.