Individual provider Active NPI

Stephania Angel Goodknecht, ARNP

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
National Provider Identifier
1689331738
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015111 Issued in FL
Practice address
625 Wildwood Dr
New Smyrna Beach, FL 32168-1833
Phone
(321) 537-2760
NPI assigned
Nov 23, 2021
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 APRN11015111 FL Primary

Addresses

Primary practice location

625 Wildwood Dr
New Smyrna Beach, FL 32168-1833

Mailing address

625 Wildwood Dr
New Smyrna Beach, FL 32168-1833
Phone (321) 537-2760

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
I20220208002998 FL Practitioner - Nurse Practitioner 7810380169 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
M Medical Group SE LLCGroup PAC ID 4385037670, 20 clinicians
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians

Practice addresses (Care Compare)

1210 N Stone St
Deland, FL 32720-0915
Phone (386) 736-8100

1350 S Nova Rd
Daytona Beach, FL 32114-5812
Phone (386) 258-5544

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015111FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Health, LLC CurrentSince Jul 17, 2023 Accepting new patients
M Medical Group SE LLC CurrentSince Oct 1, 2025 Accepting new patients
Sandford H Kinne III D O P a Past Accepting new patients

Locations

1350 S Nova Rd
Daytona Beach, FL 32114
Phone (386) 255-7146

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

1704 Huntington Village Cir
Daytona Beach, FL 32114
Phone (386) 255-6571

550 National Health Care Dr
Daytona Beach, FL 32114
Phone (386) 257-6362

550 National Health Care Dr
#D
Daytona Beach, FL 32114
Phone (386) 257-6362

401 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 776-5700

120 W Chipola Ave
Deland, FL 32720
Phone (386) 738-3433

812 Airport Rd
Port Orange, FL 32128
Phone (386) 888-6565

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1689331738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WILDWOOD DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321681833",
            "telephone_number": "321-537-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WILDWOOD DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321681833",
            "telephone_number": "321-537-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODKNECHT",
        "first_name": "STEPHANIA",
        "middle_name": "ANGEL",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.