Individual provider Active NPI

Stefanie Cokley, FNP-C

  • Family Nurse Practitioner
  • Fulton, MD
National Provider Identifier
1366235376
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R218771 Issued in MD
Practice address
8115 Maple Lawn Blvd
Fulton, MD 20759-2681
Phone
(240) 744-0001
NPI assigned
May 23, 2025
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 R218771 MD Primary

Addresses

Primary practice location

8115 Maple Lawn Blvd
Fulton, MD 20759-2681

Mailing address

1117 Oakwood LN
Bel Air, MD 21015-2519
Phone (443) 299-2011

Other practice location 1

1117 Oakwood Ln
Bel Air, MD 21015-2519
Phone (443) 299-2011

Other names 1

  • Stefanie Krout Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250609001654 MD Practitioner - Nurse Practitioner 4789194820 Reassigns benefits to 3 organizations
I20260220001258 DC Practitioner - Nurse Practitioner 4789194820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

Washington, DC 20002
Phone (862) 812-9010

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC CurrentSince Feb 9, 2026 Accepting new patients
Fall Prevention and Stroke Rehab Physician, LLC CurrentSince May 23, 2025 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Feb 9, 2026 Accepting new patients
Fall Prevention and Stroke Rehab Physician, LLC CurrentSince May 23, 2025 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

1500 K St NW
Ofc 226A
Washington, DC 20005
Phone (862) 812-9010

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

9199 Reisterstown Rd
Ste 101B
Owings Mills, MD 21117
Phone (443) 543-6773

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24618/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stefanie.cokley.1@24618.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1366235376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 OAKWOOD LN",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210152519",
            "telephone_number": "443-299-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592681",
            "telephone_number": "240-744-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Oakwood Ln",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210152519",
            "country_code": "US",
            "telephone_number": "443-299-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COKLEY",
        "first_name": "STEFANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R218771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "KROUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.