Individual provider Active NPI

Stephanie Mae Johnson, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1669126173
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018421 Issued in FL
Practice address
5100 N 12TH Ave Ste 101
Pensacola, FL 32504-8919
Phone
(850) 208-6130
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11018421 FL Primary

Addresses

Primary practice location

5100 N 12TH Ave Ste 101
Pensacola, FL 32504-8919

Mailing address

PO Box 732892
Dallas, TX 75373-2892

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
I20230829001975 FL Practitioner - Nurse Practitioner 7911373527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Florida, LLCGroup PAC ID 2769616762, 22 clinicians

Practice addresses (Care Compare)

4713 Hwy 90
Pace, FL 32571-1403
Phone (850) 304-0694

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
76.75
Promoting interoperability
99
Improvement activities
40
Cost
70.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11018421FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Hospitalist Services, LLC Current Accepting new patients
Baptist Urgent Care, LLC CurrentSince Jul 10, 2023 Accepting new patients
Afc Florida, LLC CurrentSince Nov 14, 2024 Accepting new patients
Floridian Hospitalist Services, LLC CurrentSince Aug 15, 2023 Accepting new patients
Baptist Medical Group LLC PastSince Aug 17, 2025 Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

4850 Mobile Hwy
Ste 100
Pensacola, FL 32506
Phone (850) 542-7771

9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130

5100 N 12th Ave
Ste 101
Pensacola, FL 32504
Phone (850) 208-6130

Organizations & group practices 5

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1669126173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732892",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 12TH AVE STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048919",
            "telephone_number": "850-208-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "MAE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.