Stephanie Marie Ellis, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11036590 Issued in FL

Practice address

137 NW 100TH Ave
Plantation, FL 33324-7034

Phone

(954) 577-5161

NPI assigned

Nov 25, 2024

Last updated

Aug 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Skin Local Dermatology LLC

  • Dermatology Physician
  • Miami, FL
  • NPI 1164284261
  NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1639995699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 SW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552425",
            "telephone_number": "786-449-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247034",
            "telephone_number": "954-577-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Imaging LLC (Akumin)
• Elite Spine and Wellness, LLC
• Elite Therapeutic Care, LLC (Well Care Rehabilitation Center)
• Kenneth Judd Ellington, RPH
• Elliot M Wortzel MD PA
• Andrew S Ellowitz, MD
• Latoya K Elmes, FNP-C
• Joseph Elyakim, MD
• Em9699 LLC
• Emm Medical Center Group Inc

• Family Nurse Practitioner in Plantation, FL
• Providers in Plantation, 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 Aug 10, 2026; 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.