Individual provider Active NPI

Stephanie Marie Mandell, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1487983482
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9338300 Issued in FL
Practice address
2623 Centennial Blvd Ste 204
Tallahassee, FL 32308-0601
Phone
(850) 702-5007
Fax
(850) 219-1059
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9338300 FL
Family Nurse Practitioner 363LF0000X APRN9338300 FL Primary

Addresses

Primary practice location

2623 Centennial Blvd Ste 204
Tallahassee, FL 32308-0601

Mailing address

2623 Centennial Blvd Ste 204
Tallahassee, FL 32308-0601
Phone (850) 702-5007

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
I20140304000695 FL Practitioner - Nurse Practitioner 8022293737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Medical Group, PLLCGroup PAC ID 7214321736, 14 clinicians

Practice addresses (Care Compare)

1511 Surgeons Dr
Tallahassee, FL 32308-4680
Phone (850) 878-6134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9338300FLMDFamily Nurse Practitioner
APRN9338300FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Medical Group, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 6, 2014 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 6, 2014 Accepting new patients
Tallahassee Primary Care Associates, PA CurrentSince Apr 3, 2023 Accepting new patients
Adventhealth Primary Care Network Inc Family PastSince Jun 26, 2022 Accepting new patients
Tmgim PLLC Past Accepting new patients

Locations

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

2415 N Orange Ave
Ste 502
Orlando, FL 32804
Phone (407) 303-2801

1000 Universal Studios Plz
Bldg 2
Orlando, FL 32819
Phone (407) 355-0803

2623 Centennial Blvd
Ste 204
Tallahassee, FL 32308
Phone (850) 702-5007

1511 Surgeons Dr
Ste A
Tallahassee, FL 32308
Phone (850) 702-9027

1803 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 297-0114

1511 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 701-0695

2005 Mizell Ave
Ste 1600
Winter Park, FL 32792
Phone (407) 646-7380

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1487983482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 CENTENNIAL BLVD STE 204",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080601",
            "telephone_number": "850-702-5007",
            "fax_number": "850-219-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 CENTENNIAL BLVD STE 204",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080601",
            "telephone_number": "850-702-5007",
            "fax_number": "850-219-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9338300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9338300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.