Individual provider Active NPI

Terri Stamper

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1710778048
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038812 Issued in FL
Practice address
4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9541
Phone
(904) 508-0710
Fax
(855) 299-7010
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 APRN11038812 FL Primary

Addresses

Primary practice location

4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9541

Mailing address

Dept 394 PO Box 1000
Memphis, TN 38148
Phone (941) 300-4440

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
I20250911000398 FL Practitioner - Nurse Practitioner 0244733707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

4615 Philips Hwy
Suite 3
Jacksonville, FL 32207-9506
Phone (904) 508-0710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11038812FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Family CurrentSince Jan 12, 2026 Accepting new patients
Hni Medical Services of Florida, LLC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Can Community Health Inc. CurrentSince Jan 12, 2026 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4615 Philips Hwy
Ste 3
Jacksonville, FL 32207
Phone (904) 508-0710

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

Organizations & group practices 3

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1710778048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 394 PO BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38148",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 PHILIPS HWY STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079541",
            "telephone_number": "904-508-0710",
            "fax_number": "855-299-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "TERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.