Active NPI
Stephanie Pavlik, DNP, APRN, FNP-C
- Nurse Practitioner
- Apple Valley, CA
National Provider Identifier
1801608914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95034090
- Practice address
- 18522 Ca-18
Suite 102
Apple Valley, CA 92307 - Phone
- (760) 242-7707
- NPI assigned
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95034090 | CA | Primary |
Addresses
Primary practice location
18522 Ca-18
Suite 102
Apple Valley, CA 92307
Mailing address
18522 Ca-18 Suite102
Suite 102
Apple Valley, CA 92307
Phone (760) 242-7707
Other practice location 1
18310 US Highway 18
Apple Valley, CA 92307-2206
Phone (760) 961-5555
Other practice location 2
12550 Hesperia Rd Ste 100
Victorville, CA 92395-5873
Phone (760) 381-7703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
12550 Hesperia Rd
Suite 100
Victorville, CA 92395-5873
Phone (760) 241-6666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95034090 | CA | MD | Nurse Practitioner |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1801608914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18522 CA-18 SUITE102",
"address_2": "SUITE 102",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "760-242-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18522 CA-18",
"address_2": "SUITE 102",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "92307",
"telephone_number": "760-242-7707"
}
],
"practiceLocations": [
{
"address_1": "18310 US Highway 18",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "923072206",
"country_code": "US",
"telephone_number": "760-961-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12550 Hesperia Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Victorville",
"state": "CA",
"postal_code": "923955873",
"country_code": "US",
"telephone_number": "760-381-7703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAVLIK",
"first_name": "STEPHANIE",
"credential": "DNP, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-24",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95034090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.