Individual provider Active NPI

Alexander Stephens Jr., APRN

  • Family Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1811659758
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022517 Issued in FL
Practice address
6547 Kenava Loop
Palmetto, FL 34221-2595
Phone
(941) 218-0175
NPI assigned
Oct 7, 2021
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221212000017 FL Practitioner - Nurse Practitioner 3577932797 Reassigns benefits to 2 organizations
I20251218003023 TN Practitioner - Nurse Practitioner 3577932797 Reassigns benefits to 1 organization
I20260107001669 TX Practitioner - Nurse Practitioner 3577932797 Reassigns benefits to 1 organization

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
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

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

LicenseStateTypeSpecialty
RN9487142FLMDRegistered Nurse
APRN11022517FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Practitioner Services LLC Family CurrentSince Feb 23, 2023 Accepting new patients
Lumina Wellness Group LLC Family CurrentSince Dec 31, 2024 Accepting new patients
Specialist Consultation Network LLC CurrentSince Dec 31, 2024 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.