Individual provider Active NPI

Elena A. Stadelman, APN-BC, NP-C

  • Adult Health Nurse Practitioner
  • Secaucus, NJ
National Provider Identifier
1528420189
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00500100 Issued in NJ
Practice address
38 Meadowlands Pkwy
Secaucus, NJ 07094-2925
Phone
(201) 863-3346
Fax
(201) 293-0402
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00500100 NJ Primary

Addresses

Primary practice location

38 Meadowlands Pkwy
Secaucus, NJ 07094-2925

Mailing address

1370 E Venice Ave
Ste 210
Venice, FL 34285-9084
Phone (941) 584-6272

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
I20180807003889 FL Practitioner - Nurse Practitioner 3577862119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Physicians of Florida, PAGroup PAC ID 7911804687, 25 clinicians

Practice addresses (Care Compare)

100 3Rd Ave W
Suite 110
Bradenton, FL 34205-8641
Phone 9417059555110

3005 Caring Way
Suite 1
Port Charlotte, FL 33952-5304
Phone 9417089555110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Pain Physicians of Florida, PA CurrentSince Aug 28, 2025 Accepting new patients
Demasi Digestive Health PA CurrentSince Jul 1, 2018 Accepting new patients
Independent Anesthesiologists, PLLC Past Accepting new patients

Locations

100 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 705-9555

1370 E Venice Ave
Ste 210
Venice, FL 34285
Phone (941) 584-6272

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1528420189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE",
            "address_2": "STE 210",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859084",
            "telephone_number": "941-584-6272",
            "fax_number": "941-584-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942925",
            "telephone_number": "201-863-3346",
            "fax_number": "201-293-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADELMAN",
        "first_name": "ELENA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "APN-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00500100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.