Individual provider Active NPI

Stacia Stevens Styne, ARNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1417251562
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN9202364 Issued in FL
Practice address
2501 N Orange Ave Ste 240
Orlando, FL 32804-4641
Phone
(407) 303-7265
Fax
(407) 303-7265
NPI assigned
Jan 4, 2011
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9202364 FL
Pediatric Nurse Practitioner 363LP0200X 9202364 FL
Pediatric Nurse Practitioner 363LP0200X APRN9202364 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 240
Orlando, FL 32804-4641

Mailing address

2505 Junior St
Orange City, FL 32763-8000
Phone (386) 960-8282

Other practice location 1

2505 Junior St
Orange City, FL 32763-8000
Phone (386) 960-8282

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
I20110824000423 FL Practitioner - Nurse Practitioner 8729258041 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2505 Junior St
Orange City, FL 32763-8000
Phone (386) 960-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9202364FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Jan 19, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 8, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 19, 2021 Accepting new patients
Emergency Physicians of Central Florida LLP CurrentSince Jun 1, 2013 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Oct 1, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 8, 2020 Accepting new patients

Locations

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 1005
Jacksonville, FL 32207
Phone (904) 396-1350

410 Waymont Ct
Lake Mary, FL 32746
Phone (407) 323-3550

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2505 Junior St
Orange City, FL 32763
Phone (386) 774-9022

2501 N Orange Ave
Ste 240
Orlando, FL 32804
Phone (407) 303-1380

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Interoperability endpoints

  • Direct secure messaging: sstyne73741@adventhealth.direct-ci.com
  • Direct secure messaging: swares73741@adventhealth.direct-ci.com

Organizations & group practices 7

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1417251562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 JUNIOR ST",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638000",
            "telephone_number": "386-960-8282",
            "fax_number": "386-960-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 240",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044641",
            "telephone_number": "407-303-7265",
            "fax_number": "407-303-7265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Junior St",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638000",
            "country_code": "US",
            "telephone_number": "386-960-8282",
            "fax_number": "386-960-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STYNE",
        "first_name": "STACIA",
        "middle_name": "STEVENS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9202364",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9202364",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN9202364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.