Individual provider Active NPI

Cara Stefanko, CNP

  • Family Nurse Practitioner
  • Powell, OH
National Provider Identifier
1770030553
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019668 Issued in OH
Practice address
4575 Cascade Dr
Powell, OH 43065-8957
Phone
(740) 881-0012
NPI assigned
Sep 8, 2016
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 APRN.CNP.019668 OH Primary
Registered Nurse 163W00000X 289335 OH

Addresses

Primary practice location

4575 Cascade Dr
Powell, OH 43065-8957

Mailing address

4575 Cascade Dr
Powell, OH 43065-8957
Phone (740) 881-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161111000746 OH Practitioner - Nurse Practitioner 8426337684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Wound Healing LLCGroup PAC ID 6204275514, 8 clinicians

Practice addresses (Care Compare)

6371 Riverside Dr
Suite 1100
Dublin, OH 43017-5446
Phone (614) 516-6980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289335OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Healing LLC CurrentSince Dec 31, 2025 Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1770030553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 CASCADE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658957",
            "telephone_number": "740-881-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 CASCADE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658957",
            "telephone_number": "740-881-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANKO",
        "first_name": "CARA",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019668",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "289335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.