Individual provider Active NPI

Stephanie Franzen Carmack, ARNP

  • Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1497028484
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9253099 Issued in FL
Practice address
4320 Central Ave
St Petersburg, FL 33711-1141
Phone
(727) 420-3346
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9253099 FL Primary

Addresses

Primary practice location

4320 Central Ave
St Petersburg, FL 33711-1141

Mailing address

PO Box 56107
Saint Petersburg, FL 33732-6107
Phone (727) 420-3346

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
I20120718000366 FL Practitioner - Nurse Practitioner 7214193358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

939 Beach Dr NE
St Petersburg, FL 33701-2031
Phone (727) 456-7103

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Clearwater, FL, CCN 107787
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Practitioners, P.a. Nurse Practitioner CurrentSince Feb 1, 2015 Accepting new patients
Harry W Eichenbaum MD PA Past Accepting new patients
Wayne J. Garcia Mdpa Past Accepting new patients

Locations

1430 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 344-8525

1820 Shore Dr S
South Pasadena, FL 33707
Phone (727) 384-9300

4320 Central Ave
St Petersburg, FL 33711
Phone (727) 345-3621

900 Carillon Pkwy
Ste 111
St Petersburg, FL 33716
Phone (727) 573-2300

4500 Indianapolis St NE
St Petersburg, FL 33703
Phone (727) 209-4600

435 42nd Ave S
St Petersburg, FL 33705
Phone (727) 822-1871

550 62nd St S
St Petersburg, FL 33707
Phone (727) 347-6151

255 59th St N
St Petersburg, FL 33710
Phone (727) 302-3752

Interoperability endpoints

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

Organizations & group practices 3

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.

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1497028484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56107",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337326107",
            "telephone_number": "727-420-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111141",
            "telephone_number": "727-420-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "STEPHANIE",
        "middle_name": "FRANZEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9253099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.