Stacie Dolores Malyszko, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11014470 Issued in FL

Practice address

13547 Barkingside Place
Spring Hill, FL 34609

Phone

(352) 206-3423

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 99)

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: ms_smalyszk@landmarkhealth-direct.org

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.

• Mana Health Partners PA

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1437925047
  Medicare reassignment Care Compare group NPD
• Alliance Family Physicians, PA

  • Adult Medicine Physician
  • Gainesville, FL
  • NPI 1245289206
  Medicare reassignment NPD
• Careconnectmd Florida P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1912632886
  Medicare reassignment NPD
• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984
  Medicare reassignment NPD
• Islf-Deerwood Place-Jacksonville LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1548264096
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1306519731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD # 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13547 BARKINGSIDE PLACE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-206-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALYSZKO",
        "first_name": "STACIE",
        "middle_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurav Vijai Malhotra, M.D.
• Poonam Malhotra, M.D.
• Vikas Malhotra, M.D.
• Shirley Ann Malone
• Tori Malone, MD
• Manatee Counseling Group LLC
• Gerald Perez Mancilla, PT
• Taylor Mandelin
• Sridevi Manginani, M.D
• Amy Caren Mannino, RPT

• Family Nurse Practitioner in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.