STEPHANIE VICTORIA CARMON ARNP
NPI 1174094387
Nurse Practitioner in Jacksonville, FL
About Stephanie Victoria Carmon Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE VICTORIA CARMON ARNP (NPI 1174094387) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP9295799) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Stephanie Victoria Carmon Arnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Carmon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Carmon's NPI number?
The NPI number for Stephanie Carmon is 1174094387. It was assigned to this individual provider in the NPPES registry on December 16, 2018.
Where is Stephanie Carmon located?
Stephanie Carmon practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 956-2000.
What is Stephanie Carmon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stephanie Carmon enrolled in Medicare?
Yes. Stephanie Carmon 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 organization bills Medicare for Stephanie Carmon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Carmon reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The 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 Carmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Stephanie Carmon affiliated with any hospitals?
According to CMS data, Stephanie Carmon is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Stephanie Carmon was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Stephanie Victoria Carmon, ARNP · NPI 1174094387
Nurse Practitioner physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1174094387 (Entity type: Individual)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP9295799 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 956-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174094387) · Data from the CMS NPPES public registry.