Individual provider Active NPI

Nicole Stephens, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1811580913
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011621 Issued in FL
Practice address
3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone
(352) 732-4032
Fax
(352) 732-4191
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 APRN11011621 FL Primary

Addresses

Primary practice location

3130 SW 32ND Ave
Ocala, FL 34474-4445

Mailing address

6352 Harbor BND
Margate, FL 33063-7048
Phone (954) 687-6492

Other practice location 1

6352 Harbor Bnd
Margate, FL 33063-7048
Phone (954) 687-6492

Other identifiers 1

IdentifierTypeStateIssuer
111655500MedicaidFL

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
I20210917001188 FL Practitioner - Nurse Practitioner 7618374620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Oncology Center PLGroup PAC ID 6901950856, 23 clinicians

Practice addresses (Care Compare)

3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone (352) 732-4032

Hospital & facility affiliations

  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011621FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Oncology Center PL Family CurrentSince Aug 1, 2021 Accepting new patients
Ocala Oncology Center, PL CurrentSince Aug 1, 2021 Accepting new patients

Locations

13940 N US Highway 441
Ste 203
Lady Lake, FL 32159
Phone (352) 259-8940

3130 SW 32nd Ave
Ocala, FL 34474
Phone (352) 732-4032

9401 SW Highway 200
Ste 702
Ocala, FL 34481
Phone (352) 861-6633

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nicole.stephens@fca.ikm.direct-ci.com

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 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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1811580913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 HARBOR BND",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637048",
            "telephone_number": "954-687-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SW 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744445",
            "telephone_number": "352-732-4032",
            "fax_number": "352-732-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6352 Harbor Bnd",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330637048",
            "country_code": "US",
            "telephone_number": "954-687-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111655500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.