Active NPI
Stacy Ann Thalassites, APRN
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN1709122
- Practice address
- 820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205 - Phone
- (904) 202-3860
- Fax
- (904) 202-3846
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN1709122 | FL | |
| Nurse Practitioner | 363L00000X | APRN1709122 | FL | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | ARNP1709122 | FL |
Addresses
Primary practice location
820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Mailing address
PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615
110 Health Park Blvd
Saint Augustine, FL 32086-5776
Phone (904) 823-3401
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1709122 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villages Regional Hospital Physician Services LLC | Current | Accepting new patients | |
| Symphony Specialty Group, LLC | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Flagler Professional Health Care Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Flagler Professional Health Care Services, Inc. | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Jacksonville Hospitalists PA | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Current | Accepting new patients | |
| Flagler Professional Health Care Services, Inc. | Current | Accepting new patients | |
| Flagler Professional Health Care Services, Inc. | Past | Accepting new patients |
Locations
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
1150 N 35th Ave
Ste 390
Hollywood, FL 33021
Phone (954) 265-7450
8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
120 Palencia Village Dr
Ste 107
Saint Augustine, FL 32095
Phone (904) 819-3200
120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200
110 Health Park Blvd
St Augustine, FL 32086
Phone (904) 823-3401
100 Whetstone Pl
Ste 105
St Augustine, FL 32086
Phone (904) 824-3777
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
Interoperability endpoints
- urgentcare@flaglerhealth.directbygreenway.com
- sthalassites754885@direct.shands.ufl.edu
- sthalassites304699@mhsdirect.net
Organizations & group practices 11
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.
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
dba UF Health Urgent Care-Flagler Hospital
- Urgent Care Clinic/Center
- St Augustine, FL
- NPI 1811739873
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
-
dba Cisca Pulmonary and Critical Care
- Hospitalist Physician
- Jacksonville, FL
- NPI 1871535492
-
dba Memorial Division of Kidney Transplant
- Transplant Surgery Physician
- Hollywood, FL
- NPI 1093262248
-
dba Flagler Health Primary Care
- Family Medicine Physician
- St Augustine, FL
- NPI 1023672573
Nurse Practitioner
-
dba UF Health Urgent Care - MuraBella
- Urgent Care Clinic/Center
- St Augustine, FL
- NPI 1598507014
-
dba Holy Cross Diabetes Prevention Program
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
dba Memorial Home Infusion
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Specialist
- Jacksonville, FL
- NPI 1831878735
-
dba Flagler Care Center
- Family Medicine Physician
- St Augustine, FL
- NPI 1104347020
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1376650457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746638",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746638",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 304",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078205",
"telephone_number": "904-202-3860",
"fax_number": "904-202-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THALASSITES",
"first_name": "STACY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN1709122",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN1709122",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP1709122",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.