Active NPI
Stefanie Grace Otero, ARNP
- Acute Care Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- ARNP9277223
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9277223 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Kidney and Hypertension of the Palm Beaches PLLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | 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
- https://api.platform.athenahealth.com/18387/brand/1/csg/1/fhir/r4
- 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.
-
- Nephrology Physician
- Atlantis, FL
- NPI 1174009344
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Anesthesiology Physician
- Clermont, FL
- NPI 1881633444
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.