Individual provider Active NPI

Stacy Fuentes, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1962217844
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11037610 Issued in FL
Practice address
15515 SW 172ND Ter
Miami, FL 33187-1373
Phone
(305) 458-9269
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11037610 FL Primary

Addresses

Primary practice location

15515 SW 172ND Ter
Miami, FL 33187-1373

Mailing address

15515 SW 172ND Ter
Miami, FL 33187-1373
Phone (305) 458-9269

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
I20250214000010 FL Practitioner - Nurse Practitioner 9830629294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes Management Partners LLCGroup PAC ID 9436435385, 66 clinicians

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (904) 372-3943

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Management Partners LLC CurrentSince Mar 30, 2025 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Oct 10, 2025 Accepting new patients
Diabetes Management Partners LLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

7751 Belfort Pkwy
Ste 120
Jacksonville, FL 32256

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7500 SW 87th Ave
Ste 200
Miami, FL 33173
Phone (305) 666-1333

7500 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (305) 740-5100

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

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.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1962217844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 SW 172ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871373",
            "telephone_number": "305-458-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 SW 172ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871373",
            "telephone_number": "305-458-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "STACY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11037610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.