Active NPI
Stephanie Declue Cesarec, ARNP-C
- Family Nurse Practitioner
- Summerfield, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9186748
- Practice address
- 17820 SE 109TH Ave
Suite 108
Summerfield, FL 34491-8968 - Phone
- (352) 693-2340
- Fax
- (352) 693-2345
- NPI assigned
- Apr 25, 2017
- Last updated
- Apr 25, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9186748 | FL | Primary |
Addresses
Primary practice location
17820 SE 109TH Ave
Suite 108
Summerfield, FL 34491-8968
Mailing address
4622 County Road 103G
Oxford, FL 34484-2926
Phone (352) 427-3966
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4669 E Sr
44 Suite 101
Wildwood, FL 34785-7460
Phone (352) 399-7301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9186748 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Current | Accepting new patients | |
| Sheridan Emergency Physician Services, Inc | Current | Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Current | Accepting new patients | |
| Vizavee Urgent & Primary Care, LLC | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
4669 E State Road 44
Ste 101
Wildwood, FL 34785
Phone (352) 399-7301
Interoperability endpoints
- https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4
- stephanie.cesarec.1@24264.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Wildwood, FL
- NPI 1821665886
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1528206992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1902331192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 COUNTY ROAD 103G",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842926",
"telephone_number": "352-427-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17820 SE 109TH AVE",
"address_2": "SUITE 108",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918968",
"telephone_number": "352-693-2340",
"fax_number": "352-693-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CESAREC",
"first_name": "STEPHANIE",
"middle_name": "DECLUE",
"name_prefix": "Mrs.",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9186748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerfield, FL
- Jerome C Carolino Jr., MD
- Catherine Baitinger DMD, PLLC (Baylee Dental)
- Agatha M Cayia, D.M.D.
- Central Florida Express Care
- Central Florida Spine Institute, PLLC - Summerfield
- Chandelier Homemaker and Companion Services, Inc.
- Shahbaz Ali Cheema, MD
- Michael D Chesner, MD
- Randy W Clark
- Kaylee Claycomb
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.