Active NPI
Mary Ann Stettmeier, M.D.
- Family Medicine Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME137555
- Practice address
- 4759 US Highway 19
New Port Richey, FL 34652-4945 - Phone
- (727) 841-8772
- Fax
- (727) 848-5897
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT196360 | PA | |
| Family Medicine Physician | 207Q00000X | 17660 | NH | |
| Family Medicine Physician | 207Q00000X | 0101255972 | VA | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 61-4719 | NH | |
| Family Medicine Physician | 207Q00000X | ME137555 | FL | Primary |
Addresses
Primary practice location
4759 US Highway 19
New Port Richey, FL 34652-4945
Mailing address
4759 US Highway 19
New Port Richey, FL 34652-4945
Phone (727) 841-8772
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09633 | Other | VA | GROUP PTAN |
| C05704 | Other | VA | GROUP PTAN |
| C06778 | Other | VA | GROUP PTAN |
| C06695 | Other | VA | GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4759 US Hwy 19
New PT Richey, FL 34652-4945
Phone (727) 841-8772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17660 | NH | MD | Family Medicine Physician |
| MT196360 | PA | MD | Family Medicine Physician |
| 61-4719 | NH | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Family Medicine | Current | Accepting new patients |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Family Medicine | Past | Accepting new patients |
| Bon Secours St. Francis Medical Center Inc | Past | Accepting new patients | |
| Bon Secours St Francis Medical Center LLC | Past | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours St. Francis Medical Center LLC | Past | Accepting new patients |
Locations
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
4759 US Highway 19
New Pt Richey, FL 34652
Phone (727) 841-8772
5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- mary.stettmeier@wellmed.eclinicaldirectplus.com
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1679766000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4759 US HIGHWAY 19",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524945",
"telephone_number": "727-841-8772",
"fax_number": "727-848-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4759 US HIGHWAY 19",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524945",
"telephone_number": "727-841-8772",
"fax_number": "727-848-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETTMEIER",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT196360",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "17660",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101255972",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "NH",
"license": "61-4719",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME137555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C09633",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C05704",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06695",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.