Active NPI
Alexander Stephens Jr., APRN
- Family Nurse Practitioner
- Palmetto, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11022517
- Practice address
- 6547 Kenava Loop
Palmetto, FL 34221-2595 - Phone
- (941) 218-0175
- NPI assigned
- Oct 7, 2021
- Last updated
- Mar 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9487142 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11022517 | FL | Primary |
Addresses
Primary practice location
6547 Kenava Loop
Palmetto, FL 34221-2595
Mailing address
6547 Kenava Loop
Palmetto, FL 34221
Phone (856) 899-9910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
222 2ND Ave S
Office Number 1724
Nashville, TN 37201-3720
Phone (866) 686-8862
2550 Pacific Ave
Suite 700
Dallas, TX 75226-1494
Phone (941) 285-9062
6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175
737 NW 135TH Ave
Pembroke Pines, FL 33028-3157
Phone (786) 200-7553
7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9487142 | FL | MD | Registered Nurse |
| APRN11022517 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Practitioner Services LLC | Family | Current | Accepting new patients |
| Lumina Wellness Group LLC | Family | Current | Accepting new patients |
| Specialist Consultation Network LLC | Current | Accepting new patients |
Locations
222 2nd Ave S
Ofc
Nashville, TN 37201
Phone (866) 686-8862
2550 Pacific Ave
Ste 700
Dallas, TX 75226
Phone (866) 686-8862
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pembroke Pines, FL
- NPI 1215748934
Family
-
- Family Nurse Practitioner
- Palmetto, FL
- NPI 1518610138
-
- Primary Care Nurse Practitioner
- Bradenton, FL
- NPI 1124932892
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Palmetto, FL
- NPI 1295593606
-
- Specialist
- Pembroke Pines, FL
- NPI 1730907460
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brandon, FL
- NPI 1437663465
-
dba Pinnacle Home Care
- Home Health Agency
- Orlando, FL
- NPI 1730647041
-
dba Pinnacle Home Care
- Home Health Agency
- Winter Haven, FL
- NPI 1245811876
-
- Home Health Agency
- Fort Myers, FL
- NPI 1720592751
-
- Home Health Agency
- The Villages, FL
- NPI 1982933321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1811659758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6547 KENAVA LOOP",
"city": "PALMETTO",
"state": "FL",
"postal_code": "34221",
"telephone_number": "856-899-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6547 KENAVA LOOP",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342212595",
"telephone_number": "941-218-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-07",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9487142",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11022517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.