Stefanie Lea Eads, NP
Individual provider Active NPI Family Nurse Practitioner · Edgewater, FL
NPI 1437636503 · NPPES record last updated Jan 14, 2023
Key facts
- NPI
- 1437636503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024176384 (VA)
- Practice address
- 1000 S Ridgewood Ave
Edgewater, FL 32132-2333 - Phone
- (386) 220-8222
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medfast Urgent Care Centers LLC
New Smyrna Beach Urgent Care, LLC
Practice addresses (Care Compare)
1000 S Ridgewood Ave
Edgewater, FL 32132-2333
Phone (386) 220-8222
1840 S Washington Ave
Titusville, FL 32780-4716
Phone (321) 360-5577
1860 Renzulli Rd
New Smyrna BCH, FL 32168-1726
Phone (386) 663-3061
2525 Garden St
Titusville, FL 32796-2549
Phone (321) 633-3278
3045 Columbia Blvd
Suite A108
Titusville, FL 32780-7864
Phone (321) 264-9176
5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180808001245 | VA | Practitioner - Nurse Practitioner | 2961750971 | Reassigns benefits to 2 organizations |
| I20230111003169 | FL | Practitioner - Nurse Practitioner | 2961750971 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176384 | VA | MD | Family Nurse Practitioner |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medfast Urgent Care Centers LLC | Current |
Accepting new patients | |
| Medfast Urgent Care Centers, LLC | Current |
Accepting new patients | |
| Twin River Medical Clinic PC | Current |
Accepting new patients | |
| New Smyrna Beach Urgent Care, LLC | Current |
Accepting new patients | |
| Ende Medical Practice, LLP | Current |
Accepting new patients | |
| The Vein Clinic | Past | Accepting new patients |
Locations
1000 S Ridgewood Ave
Edgewater, FL 32132
Phone (386) 220-8222
7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711
1860 Renzulli Rd
New Smyrna Beach, FL 32168
Phone (386) 299-5658
126 S Nova Rd
Ormond Beach, FL 32174
Phone (386) 663-3061
5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556
1012 Winston Churchill Dr
Hopewell, VA 23860
Phone (804) 458-8583
121 S Market St
Petersburg, VA 23803
Phone (804) 733-8771
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024176384 | VA | Yes |
Addresses
Primary practice location
1000 S Ridgewood Ave
Edgewater, FL 32132-2333
Mailing address
1000 S Ridgewood Ave
Edgewater, FL 32132-2333
Phone (386) 220-8222
Other practice location 1
5150 Belfort Rd
Jacksonville, FL 32256-6025
Phone (904) 580-4730
Other providers in Edgewater, FL
- Jolene Julia Donhauser
- Austin Adams Donnelly
- Dr D J Belcher P a
- Scott A Drummond Jr.
- Shawnee Michelle Dymond
- Edgewater Chiropractic Clinic, P.a.
- Edgewater Gynecology P a
- Edgewater Internal Medicine Assoc. Inc.
- Gabrielle Envent
- Victoria Esham
All providers in Edgewater, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.