Individual provider Active NPI

Staci Appleton, MD

  • Internal Medicine Physician
  • Edgewater, FL
National Provider Identifier
1427162189
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME67829 Issued in FL
Practice address
2327 S Ridgewood Ave
Edgewater, FL 32141-4228
Phone
(386) 957-3999
Fax
(386) 402-7920
NPI assigned
Aug 19, 2006
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME67829 FL Primary
Internal Medicine Physician 207R00000X ME0067829 FL

Addresses

Primary practice location

2327 S Ridgewood Ave
Edgewater, FL 32141-4228

Mailing address

PO Box 278
New Smyrna Beach, FL 32170
Phone (386) 957-3999

Other identifiers 2

IdentifierTypeStateIssuer
377693000MedicaidFL
27109OtherFLBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000009 FL Practitioner - Internal Medicine 7416907852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 Downing St
New Smyrna Beach, FL 32168-7109
Phone 3869573999301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0067829FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Volusia Therapy LLC Past Accepting new patients
Greg J. Mercurio, MD, PA Internal Medicine PastSince May 10, 2020 Accepting new patients
Southeast Volusia Medical Services Inc Past Accepting new patients
Emergency Medicine Professionals PA Past Accepting new patients
Bert Fish Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDAADA/Endpoint/IDAADA

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1427162189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32170",
            "telephone_number": "386-957-3999",
            "fax_number": "386-402-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414228",
            "telephone_number": "386-957-3999",
            "fax_number": "386-402-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLETON",
        "first_name": "STACI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67829",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0067829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377693000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27109",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.