Individual provider Active NPI

Stefanie Grace Otero, ARNP

  • Acute Care Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1952734618
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9277223 Issued in FL
Practice address
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone
(561) 882-4541
Fax
(561) 650-6093
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9277223 FL Primary

Addresses

Primary practice location

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Mailing address

1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone (561) 882-4541

Other practice location 1

1004 S Old Dixie Hwy Ste 201
Jupiter, FL 33458-7200
Phone (561) 972-6722

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
I20131010000548 FL Practitioner - Nurse Practitioner 3173757960 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9277223FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc CurrentSince Sep 10, 2018 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Oct 1, 2013 Accepting new patients
Kidney and Hypertension of the Palm Beaches PLLC CurrentSince Oct 30, 2022 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Oct 1, 2013 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Sep 10, 2018 Accepting new patients

Locations

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

101 John F Kennedy Dr
Lake Worth, FL 33462
Phone (561) 612-8080

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18387/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stefanie.otero.1@18387.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1952734618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-882-4541",
            "fax_number": "561-650-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-882-4541",
            "fax_number": "561-650-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 S Old Dixie Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587200",
            "country_code": "US",
            "telephone_number": "561-972-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO",
        "first_name": "STEFANIE",
        "middle_name": "GRACE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9277223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.