NPIMap

Individual provider Active NPI

Nicole Lee Stephens, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1699390351
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119664 Issued in FL
Practice address
7400 SW 87TH Ave Ste 100
Miami, FL 33173-5458
Phone
(786) 204-4201
Fax
(786) 591-6001
NPI assigned
Jun 9, 2020
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061601 PA
Physician Assistant 363A00000X PA9119664 FL Primary

Addresses

Primary practice location

7400 SW 87TH Ave Ste 100
Miami, FL 33173-5458

Mailing address

PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 662-7980

Other practice location 1

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (570) 573-9092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200723002432 PA Practitioner - Physician Assistant 8820412844 Reassigns benefits to 2 organizations
I20260226002366 FL Practitioner - Physician Assistant 8820412844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pennsylvania State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9119664FLMDPhysician Assistant
MA061601PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Aug 24, 2020 Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 24, 2020 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Mar 16, 2026 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

7400 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (305) 275-8200

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

Interoperability endpoints

  • Direct secure messaging: nicole.stephens@slpg.direct-sluhn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1699390351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "786-662-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SW 87TH AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735458",
            "telephone_number": "786-204-4201",
            "fax_number": "786-591-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511696",
            "country_code": "US",
            "telephone_number": "570-573-9092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061601",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.