Individual provider Active NPI

Stephanie Dumas, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1780138008
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9207228 Issued in FL
Practice address
13691 Metro Pkwy Ste 400
Fort Myers, FL 33912-4349
Phone
(239) 440-6456
Fax
(239) 236-0337
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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 ARNP9207228 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 400
Fort Myers, FL 33912-4349

Mailing address

PO Box 9279
Jupiter, FL 33468-9279
Phone (239) 440-6456

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
I20160913002895 FL Practitioner - Nurse Practitioner 9234425448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swag Mental Health Services LLCGroup PAC ID 6901344779, 2 clinicians
Gulf Shore Internal Medicine, P.a.Group PAC ID 5294746129, 8 clinicians

Practice addresses (Care Compare)

1922 Victoria Ave
Suite a
Fort Myers, FL 33901-3441
Phone (239) 264-4318

9371 Cypress Lake Dr
Suite 12
Fort Myers, FL 33919-4995
Phone 23944064566

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9207228FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SWFL Practitioners LLC CurrentSince Aug 1, 2025 Accepting new patients
Swag Mental Health Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Gulf Shore Internal Medicine, P.a. CurrentSince Aug 1, 2016 Accepting new patients
Stonebraker Medical, LLC Family PastSince Apr 13, 2025 Accepting new patients

Locations

13691 Metro Pkwy
Ste 400
Fort Myers, FL 33912
Phone (239) 302-3216

13685 Doctors Way
Ste 170
Fort Myers, FL 33912
Phone (239) 343-0629

9371 Cypress Lake Dr
Ste 12
Fort Myers, FL 33919
Phone (239) 440-6456

1922 Victoria Ave
Ste A
Fort Myers, FL 33901
Phone (239) 264-4318

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1780138008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9279",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689279",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124349",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9207228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.