Individual provider Active NPI

Stephanie Kitos, APRN FNP-BC

  • Family Nurse Practitioner
  • Wildwood, FL
National Provider Identifier
1396317343
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006588 Issued in FL
Practice address
4426 NE 83Rd Rd
Wildwood, FL 34785-9186
Phone
(352) 415-0991
NPI assigned
Jul 10, 2021
Last updated
Dec 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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 APRN11006588 FL Primary

Addresses

Primary practice location

4426 NE 83Rd Rd
Wildwood, FL 34785-9186

Mailing address

11585 Riverstone Cir Apt 2105
Oxford, FL 34484-2307
Phone (352) 317-4784

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
I20221228000156 FL Practitioner - Nurse Practitioner 8628448149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

178 NW 44TH St
Ocala, FL 34475-8788

3825 N Lafayette St
Denver, CO 80205-3316

PO Box
Gainesville, FL 32610

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Aug 11, 2022 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Mar 13, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 11, 2022 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

4426 NE 83rd Rd
Wildwood, FL 34785
Phone (352) 389-9344

Interoperability endpoints

  • Direct secure messaging: stephanie.jurczak.1@13869.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1396317343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 RIVERSTONE CIR APT 2105",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842307",
            "telephone_number": "352-317-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 NE 83RD RD",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347859186",
            "telephone_number": "352-415-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITOS",
        "first_name": "STEPHANIE",
        "name_prefix": "Miss",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

Verify at the official NPI Registry.