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MRS. STACI L CAPISTRANO APRN-C
NPI 1114755840
Nurse Practitioner in Palm Bay, FL

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
2169 SNAPDRAGON DR NW, PALM BAY, FL 32907(609) 271-2351 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Staci L Capistrano Aprn-c NPPES

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

MRS. STACI L CAPISTRANO APRN-C (NPI 1114755840) is an individual nurse practitioner in Palm Bay, Florida, licensed in Florida (11034041) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114755840
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. STACI L CAPISTRANOCredential: APRN-C
Location Address2169 SNAPDRAGON DR NWPalm Bay, FL 32907-7205
Mailing Address2169 Snapdragon Dr NwPalm Bay, FL 32907-7205 · (609) 271-2351
Phone(609) 271-2351
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1114755840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11034041
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2169 SNAPDRAGON DR NW, Palm Bay, FL 32907
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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

Mrs. Staci L Capistrano Aprn-c 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 ID9638618960
PECOS Enrollment IDI20240829003245
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 Staci Capistrano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indigo Dermatology LLC
9.4 mi
Specialist
675 S BABCOCK ST
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1659743094 (321) 951-1010
Srinivas Dontineni MD PA
27 mi
Infectious Disease
2428 CLEARLAKE RD BLDG K
Cocoa, FL 32922
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1639323041 (321) 368-3862

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Staci Capistrano's NPI number?

The NPI number for Staci Capistrano is 1114755840. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Staci Capistrano located?

Staci Capistrano practices at 2169 Snapdragon Dr NW, Palm Bay, FL 32907. The listed phone number is (609) 271-2351.

What is Staci Capistrano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Staci Capistrano enrolled in Medicare?

Yes. Staci Capistrano 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 Staci Capistrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Capistrano reassigns Medicare benefits to 2 organizations: Indigo Dermatology LLC (Melbourne, FL) and Srinivas Dontineni MD PA (Cocoa, 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 Staci Capistrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Staci Capistrano was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.