Individual provider Active NPI

Nicolette Stephens, FNP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1740654458
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000020645 Issued in TN
Practice address
1200 S Pine Island Rd Ste 250
Plantation, FL 33324-4459
Phone
(615) 586-0662
Fax
(615) 235-1322
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11039318 FL
Family Nurse Practitioner 363LF0000X 0000020645 TN Primary

Addresses

Primary practice location

1200 S Pine Island Rd Ste 250
Plantation, FL 33324-4459

Mailing address

594 Highway 100
Centerville, TN 37033-1212
Phone (615) 586-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160629002872 TN Practitioner - Nurse Practitioner 8628360237 Reassigns benefits to 3 organizations
I20251121004541 FL Practitioner - Nurse Practitioner 8628360237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana Medical College, School of Medicine of Purdue University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians

Practice addresses (Care Compare)

1200 S Pine Island Rd
Suite 25
Plantation, FL 33324-4413
Phone (818) 613-6769

915 Harpeth Valley PL
Nashville, TN 37221-1141
Phone (818) 613-6769

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11039318FLMDFamily Nurse Practitioner
0000020645TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jan 19, 2026 Accepting new patients
Nashville Health Pro, Inc CurrentSince Jul 25, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jan 19, 2026 Accepting new patients
Optimize With Dr. Nikki CurrentSince Aug 10, 2025 Accepting new patients
Eon Care Clinicians PC CurrentSince Apr 14, 2025 Accepting new patients

Locations

25 N Market St
Jacksonville, FL 32202
Phone (818) 613-6769

1200 S Pine Island Rd
Ste 250
Plantation, FL 33324
Phone (415) 830-5946

20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760

594 Highway 100
Centerville, TN 37033
Phone (615) 586-0662

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

3200 West End Ave
Ste 500
Nashville, TN 37203
Phone (615) 385-4090

915 Harpeth Valley Pl
Nashville, TN 37221
Phone (270) 947-1373

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": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1740654458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 HIGHWAY 100",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331212",
            "telephone_number": "615-586-0662",
            "fax_number": "615-235-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINE ISLAND RD STE 250",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244459",
            "telephone_number": "615-586-0662",
            "fax_number": "615-235-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "NICOLETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039318",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000020645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.