Active NPI
Stefanie Nicole Marshall, APRN
- Family Nurse Practitioner
- Clermont, FL
National Provider Identifier
1891494894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11023239
- Practice address
- 627 8TH St
Clermont, FL 34711-2159 - Phone
- (352) 243-4422
- NPI assigned
- Feb 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11023239 | FL | Primary |
| Registered Nurse | 163W00000X | RN9473798 | FL |
Addresses
Primary practice location
627 8TH St
Clermont, FL 34711-2159
Mailing address
14228 Title Way
Winter Garden, FL 34787-1812
Phone (407) 201-0924
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230408000049 | FL | Practitioner - Nurse Practitioner | 2264807031 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9473798 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FCHR PA | Current | Accepting new patients | |
| Mobility Rehabilitation Inc. | Current | Accepting new patients | |
| Mobility Home Healthcare Inc | Current | Accepting new patients |
Locations
1529 Sunrise Plaza Dr
Ste 6
Clermont, FL 34714
Phone (352) 243-9341
627 8th St
Clermont, FL 34711
Phone (352) 243-4422
Organizations & group practices 3
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.
-
- Home Health Agency
- Clermont, FL
- NPI 1669127981
-
- Rehabilitation Clinic/Center
- Clermont, FL
- NPI 1154757342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1891494894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14228 TITLE WAY",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347871812",
"telephone_number": "407-201-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 8TH ST",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112159",
"telephone_number": "352-243-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "STEFANIE",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11023239",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9473798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.