Individual provider Active NPI

Stephanie Ann McDermott, ARNP

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1962691717
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2876412 Issued in FL
Practice address
515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone
(407) 464-9516
Fax
(407) 464-9519
NPI assigned
Oct 17, 2007
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2876412 FL
Adult Health Nurse Practitioner 363LA2200X APRN2876412 FL
Family Nurse Practitioner 363LF0000X ARNP2876412 FL
Family Nurse Practitioner 363LF0000X APRN2876412 FL Primary

Addresses

Primary practice location

515 Wekiva Commons Cir
Apopka, FL 32712-3645

Mailing address

515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone (407) 464-9516

Other practice location 1

5728 Major Blvd
Suite 528
Orlando, FL 32819-7945
Phone (407) 352-2542

Other practice location 2

5728 Major Blvd
Suite 528
Orlando, FL 32819-7945
Phone (407) 352-2542

Other practice location 3

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8840

Other identifiers 2

IdentifierTypeStateIssuer
308929100MedicaidFL
ARNP2876412OtherFLSTATE

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
I20080429000532 FL Practitioner - Nurse Practitioner 5092893271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Clinic of Clermont LLCGroup PAC ID 5890935605, 2 clinicians

Practice addresses (Care Compare)

3101 Citrus Tower Blvd
Clermont, FL 34711-6891
Phone (352) 432-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Heart and Vascular Clinic of Clermont LLC CurrentSince Feb 15, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 4, 2019 Accepting new patients
Central Florida Hospitalist Partners PA CurrentSince Sep 23, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 4, 2019 Accepting new patients
Mohib Medical LLC PastSince Feb 15, 2023 Accepting new patients

Locations

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

3101 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 432-4200

410 Lionel Way
Ste 200
Davenport, FL 33837
Phone (352) 432-4200

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: smcdermott28117@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1962691717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5728 Major Blvd",
            "address_2": "Suite 528",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197945",
            "country_code": "US",
            "telephone_number": "407-352-2542",
            "fax_number": "407-352-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5728 Major Blvd",
            "address_2": "Suite 528",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197945",
            "country_code": "US",
            "telephone_number": "407-352-2542",
            "fax_number": "407-352-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Don Wickham Dr",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "34711",
            "country_code": "US",
            "telephone_number": "352-536-8840",
            "fax_number": "352-536-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2876412",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN2876412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2876412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2876412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308929100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "ARNP2876412",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.