Stephanie Melissa Harris, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11019125 Issued in FL

Practice address

6100 Saint Johns Ave Ste 4
Palatka, FL 32177-6859

Phone

(904) 223-3321

Fax

(904) 223-2169

NPI assigned

Apr 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Jacksonville Spine Center PAGroup PAC ID 6901890300, 38 clinicians

Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADBCAA
• Direct secure messaging: stephanie.harris@jspc.eclinicaldirectplus.com

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.

• Jacksonville Spine Center PA

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1881643757
  Medicare reassignment Care Compare group NPD
• Flagler Family Medicine P a

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1215080809
  Medicare reassignment NPD
• Lake Area Physical Therapy Inc

  • Physical Therapist
  • Melrose, FL
  • NPI 1376682518
  Care Compare group
• Flagler Family Medicine PA

  • Foot & Ankle Surgery Podiatrist
  • St Augustine, FL
  • NPI 1821406679
  NPD
• Jacksonville Spine Center PA

  • Interventional Pain Medicine Physician
  • Altamonte Springs, FL
  • NPI 1861197071
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Putnam Community Medical Center of North Florida, LLC

  • General Acute Care Hospital
  • Palatka, FL
  • NPI 1487045100
  Care Compare affiliation

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1396487567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY FL 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SAINT JOHNS AVE STE 4",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776859",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Clyde Morris Blvd Unit B1",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321748171",
            "country_code": "US",
            "telephone_number": "386-309-2165",
            "fax_number": "386-309-2265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHANIE",
        "middle_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11019125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haq Medical Center, Inc
• David Gregory Harrell, R.PH.
• Harris Speech and Language Therapy
• Eryn Harris, M.S., CCC-SLP
• Ronda J. Harris
• Danielle Renee Harvey, PHARMD
• Gregory William Harvey, RPH
• Michael Wayne Haser, MD
• Helen Karilynn Hawkins
• Savannah Mills Hawkins, M.S CF-SLP

• Nurse Practitioner in Palatka, FL
• Providers in Palatka, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.