Organization Active NPI

Staci Appleton, Mdpa

  • Internal Medicine Physician
  • Edgewater, FL
National Provider Identifier
1942632260
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME67829 Issued in FL
Legal business name
STACI APPLETON, MDPA
Practice address
2327 S Ridgewood Ave
Edgewater, FL 32141-4228
Phone
(386) 957-3999
Fax
(386) 402-7920
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Nikki Brown
Title
Office Manager
Phone
(386) 957-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME67829 FL Primary

Addresses

Primary practice location

2327 S Ridgewood Ave
Edgewater, FL 32141-4228

Mailing address

PO Box 278
New Smyrna Beach, FL 32170-0278
Phone (386) 957-3999

Other identifiers 1

IdentifierTypeStateIssuer
377693000MedicaidFL

Other names 1

  • Appleton Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130911000712 FL Part B Supplier - Clinic/Group Practice 9739323874 Receives reassigned benefits from 3 practitioners
Practice locations: New Smyrna Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1942632260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321700278",
            "telephone_number": "386-957-3999",
            "fax_number": "386-402-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 S RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414228",
            "telephone_number": "386-957-3999",
            "fax_number": "386-402-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACI APPLETON, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-957-3999"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377693000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appleton Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.