Individual provider Active NPI

Mary Elizabeth Stonebraker, NP-C

  • Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1922554583
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11001343 Issued in FL
Practice address
2034 SE 25TH Ter
Cape Coral, FL 33904-3238
Phone
(239) 699-1082
Fax
(239) 984-8873
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN79913-NP-C WV
Nurse Practitioner 363L00000X APRN11001343 FL Primary

Addresses

Primary practice location

2034 SE 25TH Ter
Cape Coral, FL 33904-3238

Mailing address

2034 SE 25TH Ter
Cape Coral, FL 33904-3238
Phone (239) 699-1082

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
I20190308000333 FL Practitioner - Nurse Practitioner 4587943592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2034 SE 25TH Ter
Cape Coral, FL 33904-3238
Phone (912) 312-3457

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

Merit-based Incentive Payment System (MIPS)

Final score
37.81 of 100Reported as group
Quality
13.45
Promoting interoperability
28
Improvement activities
40
Cost
22.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001343FLMDNurse Practitioner
APRN79913-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebraker Medical, LLC Family CurrentSince Mar 24, 2025 Accepting new patients
Swag Mental Health Services LLC PastSince Jun 1, 2025 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

1922 Victoria Ave
Ste A
Fort Myers, FL 33901
Phone (239) 264-4318

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.

Hospital & facility affiliations 6

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1922554583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 SE 25TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043238",
            "telephone_number": "239-699-1082",
            "fax_number": "239-984-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 SE 25TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043238",
            "telephone_number": "239-699-1082",
            "fax_number": "239-984-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBRAKER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN79913-NP-C",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.