Stephanie Mediavilla, AGACNP

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

APRN11025204 Issued in FL

Practice address

8950 N Kendall Dr
Miami, FL 33176-2144

Phone

(786) 596-5959

NPI assigned

Mar 21, 2023

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• South Miami Hospital Hospital, Miami, FL, CCN 100154

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• South Florida Critical Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1306354626
  Medicare reassignment Care Compare group NPD
• The Derm Group LLP

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1801448519
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospital of Miami Inc

  dba Baptist Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation
• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1932801198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19741 NW 7TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693175",
            "telephone_number": "786-768-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "786-596-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIAVILLA",
        "first_name": "STEPHANIE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11025204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medi-Plus Equipment & Supplies Corp.
• Magdeleydis Mediaceja
• Mediassist Home Health Care Services Agency Corporation
• Mediassist LLC
• Monica Mediavilla
• Medic Help Home Health Care, Inc.
• Medic Surgical Supply
• Medic Surgical Supply
• Medical and Behavioral Health Services LLC
• Medical and Psychiatric Health Group of Miami LLC

• Critical Care Medicine Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Critical Care Medicine Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.