Individual provider Active NPI

Lauren Stephens, PA

  • Physician Assistant
  • Orange Park, FL
National Provider Identifier
1366313983
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9120725 Issued in FL
Practice address
1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200
Phone
(904) 264-1628
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9120725 FL Primary

Addresses

Primary practice location

1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200

Mailing address

1822 Lakemont Cir
Middleburg, FL 32068-6635

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
I20251007002330 FL Practitioner - Physician Assistant 9739686734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1747 Baptist Clay Dr
Suite 340
Fleming Island, FL 32003-8503
Phone (904) 264-1628

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120725FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1747 Baptist Clay Dr
Ste 340
Fleming Island, FL 32003
Phone (904) 264-1628

1658 St Vincents Way
Ste 130
Middleburg, FL 32068
Phone (904) 264-1288

1560 Kingsley Ave
Ste 4
Orange Park, FL 32073
Phone (904) 264-1620

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lauren.stephens.1@2183.direct.athenahealth.com

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": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1366313983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 LAKEMONT CIR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 KINGSLEY AVE STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739200",
            "telephone_number": "904-264-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.