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DR. STEPHANIE CONCEPCION M.D.
NPI 1114137510
General Practice in Orange Park, FL

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1542 KINGSLEY AVE STE 146, ORANGE PARK, FL 32073(904) 269-2990 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Stephanie Concepcion M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE CONCEPCION M.D. (NPI 1114137510) is an individual general practice provider in Orange Park, Florida, licensed in Florida (ACN1522) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114137510
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. STEPHANIE CONCEPCIONCredential: M.D.
Location Address1542 KINGSLEY AVE STE 146Orange Park, FL 32073-4547
Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198
Phone(904) 269-2990
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1114137510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1522✔ Licensed in PR · 12720
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1542 KINGSLEY AVE STE 146, Orange Park, FL 32073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Concepcion M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072827997
PECOS Enrollment IDI20230627002211
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Concepcion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Doctors Intrastate LLC
32 mi
Primary Care
100 ARRICOLA AVE
Saint Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 73 clinicians in this Medicare group
NPI 1568083889 (904) 825-4368
Roy H Hinman MD PA
32 mi
Family Medicine
100 ARRICOLA AVENUE
St Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1649383845 (904) 825-4368

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Concepcion's NPI number?

The NPI number for Stephanie Concepcion is 1114137510. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Stephanie Concepcion located?

Stephanie Concepcion practices at 1542 Kingsley Ave Ste 146, Orange Park, FL 32073. The listed phone number is (904) 269-2990.

What is Stephanie Concepcion's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stephanie Concepcion enrolled in Medicare?

Yes. Stephanie Concepcion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephanie Concepcion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Concepcion reassigns Medicare benefits to 2 organizations: Island Doctors Intrastate LLC (Saint Augustine, FL) and Roy H Hinman MD PA (St Augustine, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Concepcion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Concepcion accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Stephanie Concepcion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Concepcion was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.