Active NPI
Stephanie Parks, ARNP
- Nurse Practitioner
- Middleburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11024496
- Practice address
- 1670 St Vincents Way
Middleburg, FL 32068-8447 - Phone
- (904) 602-1400
- NPI assigned
- Mar 15, 2023
- Last updated
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11024496 | FL | Primary |
Addresses
Primary practice location
1670 St Vincents Way
Middleburg, FL 32068-8447
Mailing address
2246 Club Lake Dr
Orange Park, FL 32065-2644
Phone (321) 368-4332
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 330-1024
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024496 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Florida Institute of Pain Medicine LLC | Current | Accepting new patients | |
| Florida Institute of Pain Medicine LLC | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| Cardiorenal Therapeutics LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
2061 Hyde Park Rd
Jacksonville, FL 32210
Phone (904) 553-3601
3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 519-9233
4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
1280 Henley Rd
Middleburg, FL 32068
Phone (904) 257-1993
1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-1219
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 264-8621
2145 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-3912
570 Wells Rd
Orange Park, FL 32073
Phone (904) 264-3912
105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246
161 Marine St
St Augustine, FL 32084
Phone (904) 829-3475
25 State Road 13 N
St Johns, FL 32259
Phone (904) 265-8209
Organizations & group practices 6
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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1457917304
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Saint Johns, FL
- NPI 1073200069
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
dba Florida Pain Physicians
- Interventional Pain Medicine Physician
- Palm Coast, FL
- NPI 1144913666
-
dba Florida Pain Physicians
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1194056283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1386345387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2246 CLUB LAKE DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320652644",
"telephone_number": "321-368-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 ST VINCENTS WAY",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320688447",
"telephone_number": "904-602-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "STEPHANIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11024496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg, FL
- Optimal Homecare Services LLC
- Orange Park Medical Center, Inc. (HCA Florida Middleburg Emergency, a department of HCA Florida Orange Park Hospital)
- Nelson Paez Carrillo, DMD
- Lisa H Page, LMHC
- Keri Lynn Parker, RBT
- Rukma Parthvi, MD
- Kathryn Pasos, M.S., CCC-SLP
- Lauren Nicole Pastizzo, PHARMD
- Betty Michelle Pate, ARNP
- Pca Plus Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.