Stefanie Lea Eads, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176384 Issued in VA

Practice address

1000 S Ridgewood Ave
Edgewater, FL 32132-2333

Phone

(386) 220-8222

NPI assigned

Jul 23, 2018

Last updated

Jan 14, 2023By the provider in NPPES

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 VA, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

New Smyrna Beach Urgent Care, LLCGroup PAC ID 8426184128, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Medfast Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1285735605
  Medicare reassignment Care Compare group NPD
• New Smyrna Beach Urgent Care, LLC

  • Basic Emergency Medical Technician
  • New Smyrna Beach, FL
  • NPI 1801126297
  Medicare reassignment Care Compare group NPD
• Ende Medical Practice, LLP

  • Internal Medicine Physician
  • Petersburg, VA
  • NPI 1710007430
  Medicare reassignment NPD Authorized official
• Twin River Medical Clinic PC

  • Internal Medicine Physician
  • Hopewell, VA
  • NPI 1306805049
  Medicare reassignment NPD
• Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Sebastian, FL
  • NPI 1376421479
  NPD
• The Vein Clinic

  • Specialist
  • Jacksonville, FL
  • NPI 1699721845
  NPD (past)

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1437636503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321322333",
            "telephone_number": "386-220-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321322333",
            "telephone_number": "386-220-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Belfort Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566025",
            "country_code": "US",
            "telephone_number": "904-580-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EADS",
        "first_name": "STEFANIE",
        "middle_name": "LEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolene Julia Donhauser
• Austin Adams Donnelly, DPT
• Dr D J Belcher P a
• Scott A Drummond Jr., DO
• Shawnee Michelle Dymond
• Edgewater Chiropractic Clinic, P.a.
• Edgewater Gynecology P a
• Edgewater Internal Medicine Assoc. Inc.
• Gabrielle Envent
• Victoria Esham, OTR/L

• Family Nurse Practitioner in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.